Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY JACOB JANSSEN, D.P.T
Active Sole ProprietorDR. JEREMY JACOB JANSSEN, D.P.T is a Physical Therapy Assistant healthcare provider located in LAVISTA, Nebraska. NPI 1104039031 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LAVISTA, NE
Registration Details
- NPI Number
- 1104039031
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2007 (19.278627887964 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
2542 (NE)03741 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6825 MICHELLE AVELAVISTA, NE, 681283091Browse NE providers · Browse ZIP 68128
- Phone
- 5157781945
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.