| NPI | 1679273767 |
|---|---|
| Former Name | JORDAN GARNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2026-06-08 |