Individual
ALAN KELLY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, NCTMB
Contact information
Practice address
337 BRIDGE ST FL 2, NEW CUMBERLAND, PA 17070-2129
(717) 884-9568
Mailing address
337 BRIDGE ST FL 2, NEW CUMBERLAND, PA 17070-2129
(717) 884-9568
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26BT00030500
NJ
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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