Individual
JORDAN MAXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 N FRONT ST, NILES, MI 49120-1677
(269) 683-6800
Mailing address
905 N FRONT ST, NILES, MI 49120-1677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501303503
MI
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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