Individual
JAIME NURRENBERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
36003523A
IN
225100000X
Physical Therapist
Primary
99131323A
IN
Other
Enumeration date
12/12/2021
Last updated
06/20/2025
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