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NPI Code Detail

MEDICARE: JORDAN ZIMMERMAN

MEDICARE: JORDAN ZIMMERMAN
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
1225100000XPhysical Therapist17662-24WI

General Provider Information

NPI Number : 1821927567
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN ZIMMERMAN
Provider Business Mailing Address
First Line : 3 NEENAH CTR
Second Line :
City : NEENAH
State : WI
Zip : 54956-3070
Country : US
Telephone Number : 920-830-5900
Fax Number : 920-830-5910
Provider Business Practice Location Address
First Line : 2400 E CAPITOL DR
Second Line :
City : APPLETON
State : WI
Zip : 54911-8728
Country : US
Telephone Number : 920-831-5050
Fax Number : 920-735-7648
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 06/18/2026

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Directions to “ JORDAN ZIMMERMAN ” Practice Location

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