Search › Texas › 225100000X
Jordan Tivis, DPT
NPI 1649804147 · on the registry since 2020
Practice
- Address
- 110 Pate Orr Rd S
Keller, TX 76248 - Phone
- (817) 337-0162
- Fax
- (817) 337-0235
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-24
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