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

JORDAN B BLAKELY, RMT

Active Sole Proprietor

Specialist · FORT COLLINS, CO

Registration Details

NPI Number
1437445384
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2011 (14.856895555831 yrs)
Last Updated
Jun 20, 2011
License
11799 (CO)
Sole Proprietor
Yes

Practice Information

Address
3938 JFK PKWY UNIT 11F
FORT COLLINS, CO, 805253087
Browse CO providers · Browse ZIP 80525
Phone
9702040516
Fax
9702046812
Primary Specialty
Specialist
174400000X

Other Specialist Providers in FORT COLLINS, CO

Name Credential NPI
DR. LARRY D KIEFT MD 1184627218
JACQUELINE C. FIELDS M.D. 1043202385
TAMARA A MILLER M.D. 1982659017
JERRY D NASH M.D. 1801842646
PAUL L SNODDERLEY MD 1871524967
DR. DIANE IRVINE DUNCAN M.D. 1003822065
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.