# MRS. HEATHER SUE JENNY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750699054
- **Gender:** F
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 941 | NE | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 2251G0304X | Geriatric Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | 941 | NE | — |

## Other

- **Enumeration date:** 09/21/2010
- **Last updated:** 09/11/2015