Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN MCKENZIE BACK, DPT
ActiveJORDAN MCKENZIE BACK, DPT is a Physical Therapy Assistant healthcare provider located in STAFFORD, Virginia. NPI 1073271706 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · STAFFORD, VA
Registration Details
- NPI Number
- 1073271706
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 30, 2021 (4.6847112840466 yrs)
- Last Updated
- Nov 30, 2021
- License
-
2305214789 (VA)
Practice Information
- Address
-
2765 JEFFERSON DAVIS HWY STE 203STAFFORD, VA, 225548331Browse VA providers · Browse ZIP 22554
- Phone
- 5404465323
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in STAFFORD, VA
| Name | Credential | NPI |
|---|---|---|
| MRS. MELISSA ANNE MCCORMACK | P.T. | 1770532202 |
| MRS. NICOLE A SMITH | M.S.P.T. | 1710027529 |
| MR. PETER JOHN HORRICKS | P.T. | 1902939689 |
| MRS. MELISSA ANN EAGLETON | P.T. | 1891916441 |
| MR. PHU QUOC LE | MPT | 1558582320 |
| MRS. TANIA C BALTES | PHYSICAL THERAPIST | 1255548467 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.