| Doctor Name: | MS. JENNIFER BREKKE FUENTES |
| NPI Number: | 1881871507 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 004182 |
| Business Practice Address: | 112 Jefferson St West Union, IA - 521751022 |
| Business Phone Number: | 5634223811 |
| Business Fax Number: | |
| Mailing Address: | 112 Jefferson St, WEST UNION |
| State: | IA |
| Postal Code: | 521751022 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2008 |
| NPI Last Update Date: | 02/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 004182 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| 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 |