Individual
JORDAN ESPESETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1805 CLYDE DR, THIEF RIVER FALLS, MN 56701-4515
(218) 689-4156
Mailing address
1805 CLYDE DR, THIEF RIVER FALLS, MN 56701-4515
(218) 689-4156
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2115205
TX
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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