Jordan Espeseth

NPI #1548636939 in Thief River Falls, Minnesota

Provider Information

NPI Number: 1548636939
Entity Type: Individual
Name: Jordan Espeseth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 19, 2015
Last Updated: Aug 19, 2015

Practice Location

Address: 1805 CLYDE DR
City: Thief River Falls
State: Minnesota
ZIP Code: 56701-4515
Phone: (218) 689-4156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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