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Contact Information

HEATHER S JENNY, PT
3344 PIAZZA LN
EDWARDSVILLE, IL62025-3225
 Phone: 402-680-9272
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for HEATHER S JENNY · (Female)

NPI # 1750699054
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 09/21/2010
Last updated 09/11/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NE License # 941
  • NE Medicaid 10025508900
  • NE Medicaid 10025670600
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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