Provider Demographics
NPI:1780816850
Name:CUENIN, JORDAN BIRKHEAD (PT, ATC)
Entity type:Individual
Prefix:MRS
First Name:JORDAN
Middle Name:BIRKHEAD
Last Name:CUENIN
Suffix:
Gender:F
Credentials:PT, ATC
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:BIRKHEAD
Other - Last Name:CUENIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3611 HIGHWAY 153
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29611-7516
Mailing Address - Country:US
Mailing Address - Phone:864-210-9625
Mailing Address - Fax:
Practice Address - Street 1:3611 HIGHWAY 153
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29611-7516
Practice Address - Country:US
Practice Address - Phone:864-210-9625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCPT8078225100000X
FLPT 26502225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist