Individual
DR. JORDAN MATTHEW BARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1120 TALL GRASS AVE, TIFFIN, IA 52340-4753
(319) 209-6548
Mailing address
1130 S SCOTT BLVD STE 1, IOWA CITY, IA 52240-2909
(319) 338-5800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
119819
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06-65463
—
IA
Enumeration date
08/03/2023
Last updated
12/11/2024
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