Individual
JORDON MCILVAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 HIGHWAY 133 STE 60, CARBONDALE, CO 81623-2536
(540) 454-2135
Mailing address
10 COOPER PL APT 1, CARBONDALE, CO 81623-2110
(540) 454-2135
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/04/2014
Last updated
09/21/2023
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