Doctor Name: | JENNIFER DEAN KRIETER |
NPI Number: | 1720136237 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT OCS |
License Number: | 5501011192 |
Business Practice Address: | 16200 19 Mile Rd Clinton Township, MI - 480381103 |
Business Phone Number: | 5864162065 |
Business Fax Number: | 5862287159 |
Mailing Address: | 1157 Pine Ridge Ct, ROCHESTER HILLS |
State: | MI |
Postal Code: | 483064244 |
Phone Number: | 2486703853 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 03/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501011192 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |