Jordan Tilley

NPI #1891156170 in Columbus, Mississippi

Provider Information

NPI Number: 1891156170
Entity Type: Individual
Name: Jordan Tilley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 14, 2016
Last Updated: Mar 14, 2016

Practice Location

Address: 310 EMERALD DR
City: Columbus
State: Mississippi
ZIP Code: 39702-5526
Phone: (662) 315-4174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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