Individual
KRISTINA A JAECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
120 GOLD STAR BLVD, WORCESTER, MA 01606-2825
(508) 453-4590
(508) 459-5900
Mailing address
280 BOSTON TPKE, SHREWSBURY, MA 01545-2640
(508) 853-4590
(949) 756-4811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13405
MA
Other
Enumeration date
07/24/2009
Last updated
08/12/2015
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