| Doctor Name: | MRS. JENNIFER RATHMANN JOHNSEN |
| NPI Number: | 1275626277 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DC |
| License Number: | 0104555594 |
| Business Practice Address: | 620 N Main St Suite 203 Tuck Chiropractic Clinic Blacksburg, VA - 24060 |
| Business Phone Number: | 5409514357 |
| Business Fax Number: | 5409511202 |
| Mailing Address: | Po Box 1433, Tuck Chiropractic Clinic CHRISTIANSBURG |
| State: | VA |
| Postal Code: | 24068 |
| Phone Number: | 5409516900 |
| Fax Number: | 5409518900 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111N00000X |
| License Number: | 0104555594 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |