Search › Indiana › 367H00000X
Jordan Holt, CAA
NPI 1699232736 · on the registry since 2019
Practice
- Address
- 2401 W University Ave
Muncie, IN 47303 - Phone
- (765) 751-2649
- Fax
- (765) 281-6671
- Organisation at this address
- Pa Labs Inc
Pa Labs, Llc
Emgi-Ball, Llc
Icem-Ball, Llc
Lil Family IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 343
Additional practice sites
- 3300 Nw Expressway, Oklahoma City, OK
Registry record
- Primary taxonomy
- 367H00000X
367H00000X
- Also registered as
- 367H00000X
367H00000X - Licence states on file
- TX, IN, OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-09
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 Indiana