Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN FULLER, DPT
ActiveJORDAN FULLER, DPT is a Physical Therapy Assistant healthcare provider located in CRYSTAL FALLS, Michigan. NPI 1386266211 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CRYSTAL FALLS, MI
Registration Details
- NPI Number
- 1386266211
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2020 (6.2394282149733 yrs)
- Last Updated
- May 14, 2020
- License
-
5501019539 (MI)
Practice Information
- Address
-
1523 US HIGHWAY 2CRYSTAL FALLS, MI, 499209633Browse MI providers · Browse ZIP 49920
- Phone
- 9068741444
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CRYSTAL FALLS, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. DEBORAH J ROSSATO | PT | 1962661678 |
| RICHARD L BEAUDOIN | PT, DPT | 1083048938 |
| SELENA NICOLE FULLER | DPT | 1568073377 |
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.