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

JORDAN PRINDIVILLE, PT

Active

JORDAN PRINDIVILLE, PT is a Physical Therapy Assistant healthcare provider located in BRAZIL, Indiana. NPI 1982324794 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BRAZIL, IN

Registration Details

NPI Number
1982324794
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2022 (3.9607264227148 yrs)
Last Updated
Aug 31, 2022
License
05014762A (IN)

Practice Information

Address
1214 E NATIONAL AVE STE 100B
BRAZIL, IN, 478342747
Browse IN providers · Browse ZIP 47834
Phone
8124422635
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BRAZIL, IN

Name Credential NPI
SANDRA DARLENE HENDRICH PT 1780633057
M'LISSA S HALDT R. P. T. 1871692301
KELLY MICHELLE MAURER P.T. 1093935090
MRS. DONNA E RICHARDSON RPT 1194947424
DR. AARON WAYNE PARKINS PT, DPT 1124440821
AUSTIN ENGLAND DPT, PT, ATC, LAT 1750771366
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.