Individual
JORDAN CHRISTOPHER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT, MSOT
Contact information
Practice address
101 W 92 HWY STE H, KEARNEY, MO 64060-7591
(816) 903-0777
(816) 903-0776
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1703743
KS
225X00000X
Occupational Therapist
Primary
2020025192
MO
Other
Enumeration date
09/01/2020
Last updated
10/26/2021
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