Individual
JORDAN MICHELLE MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
15100 METCALF AVE STE 102, OVERLAND PARK, KS 66223-2899
(913) 681-0606
Mailing address
8451 RENNER BLVD, APT 3109, LENEXA, KS 66219-8527
(417) 849-2009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07280
KS
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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