DR. Jeremy Jacob Janssen, D.P.T

NPI #1104039031 in Lavista, Nebraska

Provider Information

NPI Number: 1104039031
Entity Type: Individual
Name: DR. Jeremy Jacob Janssen, D.P.T
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: D.P.T
Enumeration Date: May 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6825 MICHELLE AVE
City: Lavista
State: Nebraska
ZIP Code: 68128-3091
Phone: (515) 778-1945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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