Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER LYNN WALLENBERG, PT, DPT, PCS
Active Sole ProprietorPhysical Therapy Assistant · TRENTON, IL
Registration Details
- NPI Number
- 1104121904
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2011 (15.275000726825 yrs)
- Last Updated
- Sep 20, 2024
- License
-
070.017195 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
127 W BROADWAYTRENTON, IL, 622931305Browse IL providers · Browse ZIP 62293
- Phone
- 7084652200
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in TRENTON, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. CARRI A HAERTLING | PT | 1588632350 |
| DR. CHELSEY D BOESER | PT, DPT | 1508471699 |
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.