Individual
JORDAYN JARGSTORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1411 S CREASY LN STE 100, LAFAYETTE, IN 47905-7433
(765) 447-5552
(765) 449-1054
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 446-5417
(765) 446-5317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013748
IN
Other
Enumeration date
04/02/2015
Last updated
08/12/2020
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