Individual
JENNAH HUSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8000
Mailing address
1 WYOMING ST, DAYTON, OH 45409-2722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012107
OH
Other
Enumeration date
02/24/2014
Last updated
07/22/2016
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