Individual
JENNIFER EILERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
2703 WESTMAR CT UNIT 4, TOLEDO, OH 43615-2074
(419) 466-1009
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-5164
OH
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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