Search › Illinois › 1041C0700X
Jordan Walters
NPI 1467046052 · on the registry since 2021 · sole proprietor
Practice
- Address
- 503 E Vandalia St
Edwardsville, IL 62025 - Phone
- (618) 432-2331
- Organisation at this address
- The Therapy Space Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-10
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 Illinois