MEDICARE: DR. KELSI N JORDAN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	41357	CA

General Provider Information

NPI Number	:	1689862336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELSI N JORDAN DPT

Provider Business Mailing Address
First Line	:	25185 FLANDERS DR
Second Line	:
City	:	CARMEL
State	:	CA
Zip	:	93923-8330
Country	:	US
Telephone Number	:	831-755-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 BLANCO CIR
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93901-4401
Country	:	US
Telephone Number	:	831-755-0300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2007
Last Update Date	:	02/18/2026

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