Jenna L Koeppel, P.T.

NPI #1023226073 in Hartford, Wisconsin

Provider Information

NPI Number: 1023226073
Entity Type: Individual
Name: Jenna L Koeppel, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: May 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1032 E SUMNER ST
City: Hartford
State: Wisconsin
ZIP Code: 53027-1608
Phone: (262) 670-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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