National Provider Identifier
Kristin Jordan
Kristin Jordan is listed in the NPPES registry with a primary specialty of Physical Therapist in Angola, NY and a listed phone number of (716) 549-4454.
Profile Overview
- NPI
- 1528503299
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- January 04, 2017
- Last Updated
- September 05, 2018
Practice Location
- 8685 Erie RD
- Angola, NY 14006
Phone: (716) 549-4454
Mailing Address
- 3767 Deleware Ave
- Kenmore, NY 14217
Specialties
- Physical Therapist (225100000X)
- Pediatric Physical Therapist (2251P0200X)
Full Record
- NPI
- 1528503299
- Entity Type
- Individual
- Last Name
- Jordan
- First Name
- Kristin
- Mailing Street Address
- 3767 Deleware Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217
- Mailing Country
- US
- Mailing Phone
- (716) 874-6175
- Practice Street Address
- 8685 Erie RD
- Practice City
- Angola
- Practice State
- NY
- Practice ZIP Code
- 14006
- Practice Country
- US
- Practice Phone
- (716) 549-4454
- Enumeration Date
- January 04, 2017
- Last Updated
- September 05, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Pediatric Physical Therapist (2251P0200X)