Individual
JORDAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1705 STEVENS AVE, LOUISVILLE, KY 40205-1044
(502) 451-7330
Mailing address
4411 CATHERINE DR, CRESTWOOD, KY 40014-9559
(270) 302-3956
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006915
KY
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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