Michael Jordan in Medford - Physical Therapy Assistant

Michael Jordan - NPI 1093979171

Michael Jordan is a Physical Therapy Assistant in Medford, Oregon. Michael Jordan practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Michael Jordan is 1093979171. The last update date is 2008-07-17.

Michael Jordan's current location address is 835 Crater Lake Ave, Medford, Oregon. You can contact this provider via phone number 5417737717. The mailing address for Michael Jordan is 835 Crater Lake Ave, Medford, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Jordan
Address 835 Crater Lake Ave, Medford, Oregon
Phone Number 5417737717
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1093979171
Provider Enumeration Date 2008-07-17
Last Updated Date 2008-07-17

Provider Mailing Address Detail

Address 835 Crater Lake Ave
City Medford
State Oregon (OR)
Post Code 975046505
Phone Number 5417737717
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 8217
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Michael Jordan

What is the Michael Jordan's 1093979171?

The Michael Jordan's NPI (National Provider Identifier) Number is 1093979171. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Michael Jordan is located?

The Michael Jordan is situated at the following address: 835 Crater Lake Ave, Medford, OR, 975046505.

What is Michael Jordan's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael Jordan's area of specialization is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 225200000X.

When was the Michael Jordan's 1093979171 issued?

The Michael Jordan's 1093979171 was issued on 2008-07-17.

As of what date was the information regarding Michael Jordan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael Jordan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-17.

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