Individual
JORDAN KARL EALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2725 S 144TH ST STE 218, OMAHA, NE 68144-5253
(402) 609-1750
Mailing address
152 ARBOR CT, OMAHA, NE 68108-1725
(307) 248-2354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4658
NE
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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