Individual provider · Type 1 NPI

Michael Jordan

Physical Therapy Assistant · Medford, OR

NPI number 1093979171 Active

Practice location

835 Crater Lake Ave
Medford, OR 97504-6505

Call (541) 773-7717 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X8217 (OR)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1093979171

Michael Jordan's National Provider Identifier is 1093979171, issued on Jul 17, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Medford, OR. The record was last updated on Jul 17, 2008.