Individual
DANIEL JENNEWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2725 JAMES SANDERS BLVD, SUITE A, PADUCAH, KY 42001-8405
(270) 554-5114
Mailing address
233 N 6TH ST, PADUCAH, KY 42001-1081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1252559
TX
Other
Enumeration date
01/16/2015
Last updated
01/11/2017
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