Individual
JORDAN T BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
343 WELLSIAN WAY, RICHLAND, WA 99352-4107
(509) 946-9191
Mailing address
7201 W CLEARWATER AVE STE B101, KENNEWICK, WA 99336-1694
(509) 544-0265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61183088
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT61183088
STATE LICENSE
WA
Enumeration date
06/23/2021
Last updated
06/23/2021
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