Individual
DR. JAMEY C GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
651 E 191ST ST, WESTFIELD, IN 46074-9243
(317) 922-1990
(317) 922-1997
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005935A
IN
2255A2300X
Athletic Trainer
36000933A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356043
ANTHEM
IN
Enumeration date
07/25/2006
Last updated
03/14/2025
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