Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN TYLER LAKES, MSOT
Active Sole ProprietorJORDAN TYLER LAKES, MSOT is a Community Health Worker healthcare provider located in INDIANAPOLIS, Indiana. NPI 1962856104 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1962856104
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2016 (10.297361761291 yrs)
- Last Updated
- Apr 13, 2016
- License
-
31006064A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9190 PRIORITY WAY WEST DRINDIANAPOLIS, IN, 462406426Browse IN providers · Browse ZIP 46240
- Phone
- 3178054963
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| MS. MAPLE JEAN HILLIARD | — | 1336322122 |
| JAMI PERKINS | — | 1962658062 |
| MS. JENNIFER ANNE SALVITTI | MS, OTR/L | 1033442561 |
| DEANNA MARIE MARCUS | — | 1194010322 |
| MS. ELLISHIONA JAMISON | COTA | 1902230634 |
| NICHELLE MILES | — | 1760881262 |
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.