Individual
KRISTIN A. JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
N1287 LAUDON LN, HORTONVILLE, WI 54944-9382
(920) 841-3018
Mailing address
1835 E EDGEWOOD DR STE 10583, APPLETON, WI 54913-9407
(920) 841-3018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4020-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40471900
—
WI
Enumeration date
08/19/2006
Last updated
08/18/2024
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