Jordan Marie Mantels
Physical Therapy Assistant in Hermann, MO. Individual provider (NPI-1).
NPI number1649934324
StatusActive
Last updated in NPPESOct 28, 2021
Details
- NPI
- 1649934324
- Entity type
- Individual (NPI-1)
- Name
- Jordan Marie Mantels
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2021
- Certification date
- Sep 8, 2021
- Last updated
- Oct 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2014037305 | MO | Yes |
Practice location
509 W 18th StHermann, MO 65041-1547
Phone 573-486-2154
Mailing address
820 Hillcrest DrOwensville, MO 65066-2823
Phone 573-301-2278
Other practice locations
1016 W Highway 28
Owensville, MO 65066-1677
Owensville, MO 65066-1677
Phone 573-437-6877
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