Individual
JORDAN FOHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2105 KARA CT, SUITE A1, LIBERTY, MO 64068-1392
(816) 407-1249
Mailing address
2105 KARA CT, STE 1-A, LIBERTY, MO 64068-1395
(816) 407-1249
(816) 407-1259
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2015017610
MO
Other
Enumeration date
06/11/2015
Last updated
03/11/2016
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