Healthcare Provider Details

I. General information

NPI: 1760008858
Provider Name (Legal Business Name): JORDAN EILEEN MARCOTTE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2020
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1085 S LINDEN RD STE 100
FLINT MI
48532-3416
US

IV. Provider business mailing address

1085 S LINDEN RD STE 100
FLINT MI
48532-3416
US

V. Phone/Fax

Practice location:
  • Phone: 810-262-2000
  • Fax: 810-230-3366
Mailing address:
  • Phone: 810-262-2000
  • Fax: 810-230-3366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501019602
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: