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NPI Profile for JORDAN STODDARD in IDAHO FALLS, ID.
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthopedic |
2251X0800X | 65 | Physical Therapist in Private Practice | |
Cardiopulmonary |
2251C2600X | 65 | Physical Therapist in Private Practice | |
Geriatrics |
2251G0304X | 65 | Physical Therapist in Private Practice | |
Pediatrics |
2251P0200X | 65 | Physical Therapist in Private Practice | |
Sports |
2251S0007X | 65 | Physical Therapist in Private Practice |
| NPI # | 1073115382 |
|
| Status | Active | |
| Credentials | DPT (Doctorate of Physical Therapy) | |
| Entity | Individual | |
| Enumeration date | 11/11/2020 | |
| Last updated | 12/03/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JORDAN STODDARD
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JORDAN STODDARD, DPT