Individual
JORDAN NICOLE SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3222 W 16TH ST, SEDALIA, MO 65301-2105
(660) 827-6800
Mailing address
921 DAKOTA ST APT C, LEAVENWORTH, KS 66048-1301
(620) 446-0200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20230110671
MO
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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