Individual
DR. JEREMY JACOB JANSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
6825 MICHELLE AVE, LAVISTA, NE 68128-3091
(515) 778-1945
Mailing address
6825 MICHELLE AVE, LAVISTA, NE 68128-3091
(515) 778-1945
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
03741
IA
225100000X
Physical Therapist
Primary
2542
NE
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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