Individual
JORDYN E LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1222 NORTH DR, MT PLEASANT, MI 48858-3200
(989) 772-2957
Mailing address
4556 E BLANCHARD RD, SHEPHERD, MI 48883-8534
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006083
MI
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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