Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared Cordum

Individual provider Pediatric Occupational Therapist · NPI 1558007518

Jared Cordum is a Pediatric Occupational Therapist in Clovis, New Mexico. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3009 Prince Street Site 46
Clovis, NM 88101
Phone: (217) 415-0855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X

Record details

NPI number1558007518
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 11, 2022
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022
Mailing addressPo Box 5751, Clovis, NM 88102-5751

Other providers in Clovis