Individual
JORDAN ADAM SHETTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8303 PULASKI HWY, STE A, BALTIMORE, MD 21237-2962
(443) 372-5300
(443) 372-5810
Mailing address
6221 GREENLEIGH AVE, UNIT 515, BALTIMORE, MD 21220-2038
(717) 817-4308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24870
MD
Other
Enumeration date
07/10/2012
Last updated
09/13/2019
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