Individual
JENNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1900 PINEWOOD RD SE, ROCHESTER, MN 55904-5833
(507) 328-4900
Mailing address
11700 10TH ST SE, EYOTA, MN 55934-2332
(612) 226-2858
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
8899
MN
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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