Individual
JORDAN MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W 140TH ST UNIT 201, BURNSVILLE, MN 55337-4833
(952) 808-3000
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14243
MN
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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