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

JORDAN TIVIS, DPT

Active

JORDAN TIVIS, DPT is a Physical Therapy Assistant healthcare provider located in KELLER, Texas. NPI 1649804147 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · KELLER, TX

Registration Details

NPI Number
1649804147
Provider Type
Individual
Gender
Male
NPI Issued
Feb 24, 2020 (6.469217445123 yrs)
Last Updated
Feb 24, 2020
License
1328258 (TX)

Practice Information

Address
110 PATE ORR RD S
KELLER, TX, 762481400
Browse TX providers · Browse ZIP 76248
Phone
8173370162
Fax
8173370235
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in KELLER, TX

Name Credential NPI
MRS. DAWN COLETTE COFFELT MS PT 1669449088
BRANDON LEE BARKER PT 1922066430
DR. CRISTINA A NEUWIRTH DPT 1760401822
DULCE M MERCADO MSPT 1770677056
MS. DEBRA KAY KITCHENS P.T. 1578601043
SUZANNE LEE SESSUMS PHYSICAL THERAPIST 1245454669
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.