Provider Demographics
NPI:1528758802
Name:SUTTON, JORDAN M (DPT)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:M
Last Name:SUTTON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:M
Other - Last Name:MEHRINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:418 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-0704
Mailing Address - Country:US
Mailing Address - Phone:270-926-8145
Mailing Address - Fax:270-926-8147
Practice Address - Street 1:307 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HUNTINGBURG
Practice Address - State:IN
Practice Address - Zip Code:47542-1344
Practice Address - Country:US
Practice Address - Phone:812-683-5555
Practice Address - Fax:812-683-1111
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist