Individual
JENNIFER DAWN HERTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
202 10TH STREET SE, CEDAR RAPIDS, IA 52403
(319) 363-8171
(319) 363-3172
Mailing address
202 10TH STREET SE, CEDAR RAPIDS, IA 52403
(319) 363-8171
(319) 363-3172
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03555
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665430
—
IA
Enumeration date
10/03/2006
Last updated
07/02/2018
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