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Jordan Alexander Clevenger, DPT

Physical Therapist in Twentynine Palms, CA. Individual provider (NPI-1).

NPI number1164076568
StatusActive
Last updated in NPPESJul 25, 2019

Details

NPI
1164076568
Entity type
Individual (NPI-1)
Name
Jordan Alexander Clevenger
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Jul 25, 2019
Last updated
Jul 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT296699CAYes

Practice location

5930 Adobe Rd
Twentynine Palms, CA 92277-2356

Phone 760-367-1743

Mailing address

10876 Cold Spring Dr
Fishers, IN 46038-2532

Phone 317-308-9616

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