Individual
JORDAN-LEE STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
615 PRICE AVE, OAKLEY, KS 67748-2048
(785) 672-8109
Mailing address
1035 VILLA VISTA DR, COLBY, KS 67701-3533
(620) 330-3646
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03438
KS
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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