IndividualActive
Ellen Jordan
NPI 1922288083 · Physical Therapy Assistant · Summit, MS
Provider details
- NPI number
- 1922288083
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3887 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4109 Highway 98 W
Summit, MS 39666-9132
Phone: (601) 683-6644
Approximate (ZIP-level) locationGet directions
Mailing address
4109 Highway 98 W
Summit, MS 39666-9132
Registry dates
- Enumerated
- 2007-11-06
- Last updated
- 2012-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.