Bradley Dean Jordan in Colorado Springs - Sports
Bradley Dean Jordan - NPI 1972585560
Bradley Dean Jordan is a Sports in Colorado Springs, Colorado. Bradley Dean Jordan practices all healthcare services and medical treatments related to Sports. The NPI Number for Bradley Dean Jordan is 1972585560. The last update date is 2007-07-08.
Bradley Dean Jordan's current location address is 2375 Telstar Drive, Colorado Springs, Colorado. You can contact this provider via phone number 7195907777 and fax number 7195907121. The mailing address for Bradley Dean Jordan is 2375 Telstar Drive, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Dean Jordan |
|---|---|
| Address | 2375 Telstar Drive, Colorado Springs, Colorado |
| Phone Number | 7195907777 |
| Fax Number | 7195907121 |
| Sole Proprietor | N |
| Credentials | OTR CHT |
NPI Number Detail
| NPI Number | 1972585560 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2375 Telstar Drive |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809201029 |
| Phone Number | 7195907777 |
| Fax Number | 7195907121 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 915917 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Bradley Dean Jordan?
The Bradley Dean Jordan has been issued the NPI (National Provider Identifier) 1972585560 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Bradley Dean Jordan is located?
The Bradley Dean Jordan is situated at the following address: 2375 Telstar Drive, Colorado Springs, CO, 809201029.
What is the Bradley Dean Jordan's specialty and taxonomy code?
The Bradley Dean Jordan's specialty is Sports, and the corresponding taxonomy code is 2251S0007X.
When did Bradley Dean Jordan receive its 1972585560 assignment?
The Bradley Dean Jordan was assigned its 1972585560 on 2005-11-18, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Bradley Dean Jordan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bradley Dean Jordan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY