Individual
MS. KATHRYN L JORDAN
Active
Individual
MS. KATHRYN L JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMT
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
11483
CO
225700000X
Massage Therapist
11483
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11483
DEPARTMENT OF REGULATORY AGENCIES - DIVISION OF REGISTRATIONS
CO
Enumeration date
09/01/2011
Last updated
10/07/2011
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