Jenise Lynn Axberg, PTA

NPI #1386955953 in Creswell, Oregon

Provider Information

NPI Number: 1386955953
Entity Type: Individual
Name: Jenise Lynn Axberg, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 28, 2010
Last Updated: Aug 9, 2011

Practice Location

Address: 525 S 2ND ST
City: Creswell
State: Oregon
ZIP Code: 97426-9508
Phone: (541) 895-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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Organizations

Provider Name	Specialty	City
Oregon Spine and Physical Therapy	Physical Therapy Assistant	Creswell	AI Deep Dive

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