NPI 1043025836

Jordan Benson

Practitioner Physical Therapist Shawnee, OK

Practice location

Address: 781 Grand Casino Blvd, Shawnee, OK 74804-1005
Phone: (405) 695-6004
Mailing address: 16212 Juliet Dr, Edmond, OK 73013-9235

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 6667 (OK)

Other Physical Therapist providers in Oklahoma →

Registry record

NPI: 1043025836
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Feb 2025
Record last updated: 10 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.