SearchTexas2255A2300X

Jordan Corley, LAT, ATC

NPI 1013438209 · on the registry since 2017 · sole proprietor

Practice

Address
5250 Bayou Willow Dr
Beaumont, TX 77705
Phone
(409) 658-5230

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
2255A2300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas