Doctor Name: | MRS. JENNIFER MARIE PROBSTFIELD |
NPI Number: | 1932192895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATC |
License Number: | 2004031355 |
Business Practice Address: | 2900 S National Ave Springfield, MO - 658043634 |
Business Phone Number: | 4178853888 |
Business Fax Number: | |
Mailing Address: | 5311 S Parkhill Ave, SPRINGFIELD |
State: | MO |
Postal Code: | 658102575 |
Phone Number: | 4174960559 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2005 |
NPI Last Update Date: | 10/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 2004031355 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |