Doctor Name: | JENNIFER L ROGERS |
NPI Number: | 1356524243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 920 |
Business Practice Address: | 2225 N Mccarran Blvd Sparks, NV - 894313365 |
Business Phone Number: | 7753591199 |
Business Fax Number: | 7753591195 |
Mailing Address: | 1238 Fuggles Dr, SPARKS |
State: | NV |
Postal Code: | 894414850 |
Phone Number: | 7754245205 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2007 |
NPI Last Update Date: | 12/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 920 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |