Individual
KEITH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4110 S 144TH ST, OMAHA, NE 68137-1013
(800) 774-7785
Mailing address
4110 S 144TH ST, OMAHA, NE 68137-1013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1394217
TX
Other
Enumeration date
11/05/2025
Last updated
12/18/2025
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