MEDICARE: JORDAN SKOF

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	11-07868	KS
2	225100000X	Physical Therapist	131028	IA

General Provider Information

NPI Number	:	1699587048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN SKOF

Provider Business Mailing Address
First Line	:	131 N SANTA FE AVE STE 110
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-2642
Country	:	US
Telephone Number	:	785-493-8111
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 N SANTA FE AVE STE 110
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-2642
Country	:	US
Telephone Number	:	785-493-8111
Fax Number	:

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

Provider Enumeration Date	:	01/23/2025
Last Update Date	:	06/27/2025

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Directions to “ JORDAN SKOF ” Practice Location

Language	Start Address	Practice Location

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