Provider Demographics
NPI:1831459593
Name:SCHMIDT, JORDAN WILLIAM (DPT)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:WILLIAM
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4424 N SAGINAW RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-2370
Mailing Address - Country:US
Mailing Address - Phone:989-495-2255
Mailing Address - Fax:989-495-2256
Practice Address - Street 1:4424 N SAGINAW RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-2370
Practice Address - Country:US
Practice Address - Phone:989-495-2255
Practice Address - Fax:989-495-2256
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist