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

Kelly Jean Jordan

Individual provider Occupational Therapy Assistant · NPI 1770208837

Kelly Jean Jordan is an Occupational Therapy Assistant in Crestwood, Illinois. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

13020 S Central Ave
Crestwood, IL 60418-2710
Phone: (708) 389-0555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057001853

Record details

NPI number1770208837
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 11, 2022
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022

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