Individual
JORDAN CRANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1407 E CRYSTAL DR STE E, LA GRANGE, KY 40031-1456
(502) 222-0280
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009363
KY
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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