Individual
MR. JORDAN ZUCCARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
405 E IRON AVE, SALINA, KS 67401-2634
(785) 764-0497
(785) 746-0428
Mailing address
405 E IRON AVE, SALINA, KS 67401-2634
(785) 764-0497
(785) 746-0428
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04804
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201101340A
—
KS
Enumeration date
06/11/2014
Last updated
10/11/2021
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