Jordan Backstrom

NPI #1376958009 in Rugby, North Dakota

Provider Information

NPI Number: 1376958009
Entity Type: Individual
Name: Jordan Backstrom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 20, 2014
Last Updated: Sep 10, 2018

Practice Location

Address: 215 HIGHWAY 2 SW STUITE 103
City: Rugby
State: North Dakota
ZIP Code: 58368
Phone: (701) 351-0775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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