Doctor Name: | MARNIE REYNOLDS-JENSEN |
NPI Number: | 1790112092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 070006188 |
Business Practice Address: | 9645 Lincolnway Ln Suite 116 Frankfort, IL - 604231866 |
Business Phone Number: | 8154640101 |
Business Fax Number: | 8154649191 |
Mailing Address: | 10402 Sutton Dale Ln, FRANKFORT |
State: | IL |
Postal Code: | 604232232 |
Phone Number: | 6308783452 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2013 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070006188 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |