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Contact Information

JENNIFER L BLANKE, DPT
2814 S BALTIMORE ST
KIRKSVILLE, MO63501
 Phone: 660-785-1834
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JENNIFER L BLANKE · (Female)

NPI Number 1245359512
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 03/28/2007
Last updated 07/03/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 117394
  • MO Medicaid 481363000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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