Jordan Tivis, DPT

NPI #1649804147 in Keller, Texas

Provider Information

NPI Number: 1649804147
Entity Type: Individual
Name: Jordan Tivis, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Feb 24, 2020
Last Updated: Feb 24, 2020

Practice Location

Address: 110 PATE ORR RD S
City: Keller
State: Texas
ZIP Code: 76248-1400
Phone: (817) 337-0162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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