Individual
JEANETTE FOLKENROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
555 W WACKERLY ST STE 3600, MIDLAND, MI 48640-4714
(989) 631-3570
Mailing address
555 W WACKERLY ST STE 3600, MIDLAND, MI 48640-4714
(989) 631-3570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010112
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N75070020
MEDICARE
MI
Enumeration date
01/21/2016
Last updated
05/05/2021
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