Doctor Name: | MRS. JEANNETT M. PENNER |
NPI Number: | 1295980704 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.P.T. |
License Number: | PT00007467 |
Business Practice Address: | 8862 Bender Road Suite 101 Lynden, WA - 98264 |
Business Phone Number: | 3603541115 |
Business Fax Number: | 3603540321 |
Mailing Address: | 8862 Bender Road, Suite 101 LYNDEN |
State: | WA |
Postal Code: | 98264 |
Phone Number: | 3603541115 |
Fax Number: | 3603540321 |
NPI Enumeration Date: | 11/25/2008 |
NPI Last Update Date: | 05/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00007467 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |