# MR. JEREMY BRIAN JENNINGS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528135761
- **Gender:** Man
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1159838 | TX | Yes |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5703016 | FIRST HEALTHCCN | TX |
| 01 | — | 6362783 | CIGNA | TX |
| 01 | — | 7615482 | AETNA | TX |
| 01 | — | 8T4085 | BLUE CROSS BLUE SHIELD | TX |