Individual
DR. JENNIFER LEEANN BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
64-974 MAMALAHOA HWY STE 103, KAMUELA, HI 96743-7334
(808) 887-1371
(808) 887-1373
Mailing address
1374 COUGAR DR, BOZEMAN, MT 59718-8380
(406) 599-1649
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
14914
MT
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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