Jordan J Theriot, PT, DPT

NPI #1336893981 in Mansura, Louisiana

Provider Information

NPI Number: 1336893981
Entity Type: Individual
Name: Jordan J Theriot, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Feb 11, 2022
Last Updated: Feb 11, 2022

Practice Location

Address: 7406 HIGHWAY 1 STE 102
City: Mansura
State: Louisiana
ZIP Code: 71350-4230
Phone: (318) 240-7680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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