Individual
MR. JORDAN D GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD, LMNT
Contact information
Practice address
12565 W CENTER RD STE 100, OMAHA, NE 68144-3810
(402) 342-5566
(402) 342-0034
Mailing address
12565 W CENTER RD STE 100, OMAHA, NE 68144-3810
(402) 342-5566
(402) 342-0034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NE
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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