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

MR. JORDAN SCOTT ANDERSON, DPT

Active Sole Proprietor

MR. JORDAN SCOTT ANDERSON, DPT is a Physical Therapy Assistant healthcare provider located in POCATELLO, Idaho. NPI 1932510690 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · POCATELLO, ID

Registration Details

NPI Number
1932510690
Provider Type
Individual
Gender
Male
NPI Issued
May 15, 2014 (12.06050929158 yrs)
Last Updated
Sep 12, 2017
License
3526 (ID)
Sole Proprietor
Yes

Practice Information

Address
2240 E CENTER ST
POCATELLO, ID, 832012600
Browse ID providers · Browse ZIP 83201
Phone
2086781191
Fax
2086781214
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in POCATELLO, ID

Name Credential NPI
RICHARD W LEMON M.P.T. 1487646733
MRS. KIMBERLY W SCHWARZE RPT 1972566354
MRS. JONI D VAUGHN POWELL RPT 1962465344
MR. MICHAEL E OTTO RPT 1558324590
DR. COREY LAYNE RASMUSSEN DPT 1578665329
C RIC BENEDETTI DPT 1427147784
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.