Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROF. JERRY J. JORDAN, ED.D., CTRS
Active Sole ProprietorPROF. JERRY J. JORDAN, ED.D., CTRS is a Recreation Therapist healthcare provider located in GUTHRIE, Oklahoma. NPI 1447385950 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · GUTHRIE, OK
Registration Details
- NPI Number
- 1447385950
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 23, 2007 (19.494029066319 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
325 DONNA AVEGUTHRIE, OK, 730449494Browse OK providers · Browse ZIP 73044
- Phone
- 4057449424
- Fax
- 4057446507
- Primary Specialty
-
Recreation Therapist
225800000X
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.