Krystal Jenness in Fairfax - Physical Therapist

Krystal Jenness - NPI 1114957131

Krystal Jenness is a Physical Therapist in Fairfax, Vermont. Krystal Jenness practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Krystal Jenness is 1114957131. The last update date is 2007-07-08.

Krystal Jenness's current location address is 1282 Main St, Fairfax, Vermont. You can contact this provider via phone number 8028499308 and fax number 8028499752. The mailing address for Krystal Jenness is 1282 Main St, Fairfax, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Krystal Jenness
Address 1282 Main St, Fairfax, Vermont
Phone Number 8028499308
Fax Number 8028499752
Sole Proprietor Y
Credentials PT

NPI Number Detail

NPI Number 1114957131
Provider Enumeration Date 2006-07-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1282 Main St
City Fairfax
State Vermont (VT)
Post Code 545495340
Phone Number 8028499308
Fax Number 8028499752

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 400000972
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
29696 VT BCBS OF VT PROVIDER #
1006936 VT --
9150484 VT CIGNA PROVIDER #
364674 VT MVP PROVIDER #

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FAQs about Krystal Jenness

What is the unique identifier code issued to Krystal Jenness by the Centers for Medicare & Medicaid Services (CMS)?

The Krystal Jenness has been assigned the NPI (National Provider Identifier) 1114957131. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Krystal Jenness is located?

The Krystal Jenness is situated at the following address: 1282 Main St, Fairfax, VT, 545495340.

What is the Krystal Jenness's area of specialization and corresponding taxonomy classification?

The Krystal Jenness's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1114957131 to Krystal Jenness?

The Centers for Medicare & Medicaid Services assigned the 1114957131 to Krystal Jenness on 2006-07-04.

As of what date was the information pertaining to Krystal Jenness, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Krystal Jenness, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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