All Medicaid billing entities listing STODDARD, JORDAN (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $3K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | EMPOWER PT, PLLC | IDAHO FALLS, ID | Sports Physical Therapist | $3K |