Individual
JORDAN M WIMSATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7910 BEECHMONT AVE, CINCINNATI, OH 45255-4210
(859) 817-3599
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP011661T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003351
—
OH
05
—
7100819660
—
KY
Enumeration date
05/27/2022
Last updated
11/18/2024
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