DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN VAN EPS, PT, DPT, CSCS

Active

JORDAN VAN EPS, PT, DPT, CSCS is a Physical Therapy Assistant healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1225655566 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WHITE BEAR LAKE, MN

Registration Details

NPI Number
1225655566
Provider Type
Individual
Gender
Male
NPI Issued
Jul 2, 2020 (6.0778224065 yrs)
Last Updated
Apr 6, 2022
Licenses
40QA01928500 (NJ)
12552 (MN)

Practice Information

Address
2689 COUNTY ROAD E E
WHITE BEAR LAKE, MN, 551104908
Browse MN providers · Browse ZIP 55110
Phone
9528354512
Fax
8884250398
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in WHITE BEAR LAKE, MN

Name Credential NPI
AMY J PROSE PT 1881790665
JEFFREY F LAHTI PT 1811085525
SARA L SHUPE PT 1285722421
JOSEPH K WAVRA PT 1467540583
MELANIE K YOUNGQUIST PT 1033207014
LAUREN LOBERG PT 1891980819
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.