Jerod Gordon

Occupational Therapist · Tyler, TX

Individual Active NPI

NPI number 1780075275

Practice location

1808 Blossom Ln
Tyler, TX 75701-8237
Phone
(903) 724-3849

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NPI record

NPI
1780075275
Entity type
Individual (Type 1)
Enumeration date
February 5, 2015
Last updated
February 5, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X 113449 TX

About Jerod Gordon

Jerod Gordon is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 1808 Blossom Ln, Tyler, TX 75701-8237. The NPI number 1780075275 was assigned on February 5, 2015 and the record was last updated on February 5, 2015.

Jerod Gordon lists a license in the registry: #113449 (TX) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerod Gordon?

The NPI number is 1780075275.

What is the phone number of Jerod Gordon?

The phone number listed for the practice location is (903) 724-3849.

Where is Jerod Gordon located?

1808 Blossom Ln, Tyler, TX 75701-8237.

What is the taxonomy code for Jerod Gordon?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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