Individual
JORDAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
231 AVENUE D, SNOHOMISH, WA 98290-2744
(360) 563-1020
Mailing address
619 89TH AVE SE, LAKE STEVENS, WA 98258-6641
(425) 879-2800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
70040712
WA
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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