| Doctor Name: | MR. TRACY W JORDAN |
| NPI Number: | 1366503518 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.T. |
| License Number: | NC6896 |
| Business Practice Address: | 1668 Nc Highway 16 S Taylorsville, NC - 286816285 |
| Business Phone Number: | 8286329736 |
| Business Fax Number: | 8286329544 |
| Mailing Address: | 1668 Nc Hwy 16 South, TAYLORSVILLE |
| State: | NC |
| Postal Code: | 28681 |
| Phone Number: | 8286329736 |
| Fax Number: | 8286329544 |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | NC6896 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |