Individual
JEFFREY JANKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T. AND A.T.C.
Contact information
Practice address
700 NW 7TH ST, OKLAHOMA CITY, OK 73102-1212
(405) 609-3667
(405) 609-3697
Mailing address
800 NW 6TH ST, OKLAHOMA CITY, OK 73106-7241
(405) 609-3667
(405) 609-3697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2549
OK
2255A2300X
Athletic Trainer
154
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2782216
CIGNA
OK
01
—
9606006
AETNA LEGACY
OK
Enumeration date
04/24/2007
Last updated
02/16/2022
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