WYATT C JORDAN

KALISPELL, MT
NPI1093483406
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MT  PTP-PT-LIC-21996)
Enumeration Date2021-08-31
Last Update Date2021-12-01
Business Address
WYATT C JORDAN DPT
200 E IDAHO ST STE A
KALISPELL, MT 59901-4117
Phone number: 406-257-5610
Mailing Address
WYATT C JORDAN DPT
PO BOX 5718
KALISPELL, MT 59903-5718
Phone number: 406-756-0134
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