Individual
JENNY MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3023 S FORT AVE STE B, SPRINGFIELD, MO 65807-4217
(417) 890-4656
(417) 708-0889
Mailing address
3023 S FORT AVE STE B, SPRINGFIELD, MO 65807-4217
(417) 890-4656
(417) 708-0889
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001016927
MO
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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