Individual
MR. BOYD KENNETH JORDAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
108 N TOWNSHIP ST, SUITE F, SEDRO WOOLLEY, WA 98284-1232
(360) 854-9924
(360) 854-9743
Mailing address
108 N TOWNSHIP ST, SUITE F, SEDRO WOOLLEY, WA 98284-1232
(360) 854-9924
(360) 854-9743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006044
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7112295
—
WA
Enumeration date
01/12/2006
Last updated
07/09/2007
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