Individual
JORDAN LUKE GANTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7708 W GOOD HOPE RD, MILWAUKEE, WI 53223-4516
(414) 541-1118
(414) 541-3066
Mailing address
8800 W LINCOLN AVE, WEST ALLIS, WI 53227-2400
(414) 541-1118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15412-24
WI
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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