Individual
JENNIFER ELLEN EIKANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
875 S VANGUARD WAY STE 110, MERIDIAN, ID 83642-8541
(208) 960-0930
(208) 960-0935
Mailing address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3000
(208) 463-3044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4521
ID
Other
Enumeration date
08/22/2011
Last updated
09/08/2022
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