Individual
HEATHER ELLEN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7819 CONSER PL, OVERLAND PARK, KS 66204-2820
(913) 789-9900
(913) 789-9900
Mailing address
15041 WEST 138TH ST., 808, OLATHE, KS 66062
(913) 709-5334
(913) 789-9900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02113
KS
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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