| Doctor Name: | MISS JENNIFER LYNN WITTING |
| NPI Number: | 1336282755 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, ATC, OTC |
| License Number: | 07-0815 |
| Business Practice Address: | 205 Osceola St Laurium, MI - 499132134 |
| Business Phone Number: | 9063376585 |
| Business Fax Number: | 9063376573 |
| Mailing Address: | 280 5th St, ALLOUEZ |
| State: | MI |
| Postal Code: | 498056918 |
| Phone Number: | 9063376585 |
| Fax Number: | 9063376573 |
| NPI Enumeration Date: | 02/15/2007 |
| NPI Last Update Date: | 07/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246Z00000X |
| License Number: | 07-0815 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |