| Doctor Name: | MS. JANE MARIE WENTZIEN |
| NPI Number: | 1568617603 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.P.T. |
| License Number: | 02092 |
| Business Practice Address: | 5445 Avenue O Fort Madison, IA - 526279611 |
| Business Phone Number: | 3193762072 |
| Business Fax Number: | 3193762049 |
| Mailing Address: | 1 28th Pl, FORT MADISON |
| State: | IA |
| Postal Code: | 526272147 |
| Phone Number: | 3193762072 |
| Fax Number: | 3193762049 |
| NPI Enumeration Date: | 11/17/2008 |
| NPI Last Update Date: | 11/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 02092 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |