Jordan Marie Mantels

NPI #1649934324 in Hermann, Missouri

Provider Information

NPI Number: 1649934324
Entity Type: Individual
Name: Jordan Marie Mantels
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 28, 2021
Last Updated: Oct 28, 2021

Practice Location

Address: 509 W 18TH ST
City: Hermann
State: Missouri
ZIP Code: 65041-1547
Phone: (573) 486-2154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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