Individual
DANELLE J JAEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
930 2ND ST, DODGE, NE 68633
(402) 693-2212
Mailing address
117 MORNINGSIDE DR, NORFOLK, NE 68701-6743
(402) 750-6612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1302
NE
Other
Enumeration date
06/02/2010
Last updated
10/30/2019
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