Individual
JENNIFER NICOLE RACETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
751 E PORTER AVE STE 2, CHESTERTON, IN 46304-9111
(219) 926-5850
(219) 250-2072
Mailing address
751 E PORTER AVE STE 2, CHESTERTON, IN 46304-9111
(219) 926-5850
(219) 250-2072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012457A
IN
2251X0800X
Orthopedic Physical Therapist
070.014871
IL
Other
Enumeration date
08/29/2006
Last updated
01/22/2019
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