Individual
JORDAN REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
8810 COLBY BLVD, INDIANAPOLIS, IN 46268-1399
(317) 552-2186
Mailing address
8810 COLBY BLVD, INDIANAPOLIS, IN 46268-1399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011583A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05011583A
INDIANA STATE PHYSICAL THERAPY LICENSE
IN
Enumeration date
12/16/2014
Last updated
08/09/2022
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