Individual
JORDAN MICHELLE RICKETSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
17706 INTERSTATE 30 N STE 3, BENTON, AR 72019-2930
(501) 315-4414
Mailing address
17706 INTERSTATE 30 N STE 3, BENTON, AR 72019-2930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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