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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEANNINE MARIE KNICKERBOCKER, DPT

Active

JEANNINE MARIE KNICKERBOCKER, DPT is a Physical Therapy Assistant healthcare provider located in WATERLOO, Iowa. NPI 1962561969 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WATERLOO, IA

Registration Details

NPI Number
1962561969
Provider Type
Individual
Gender
Female
NPI Issued
Dec 6, 2006 (19.692495127939 yrs)
Last Updated
Dec 7, 2007
License
03966 (IA)

Practice Information

Address
1731 W RIDGEWAY AVE
WATERLOO, IA, 507014594
Browse IA providers · Browse ZIP 50701
Phone
3198335900
Fax
3198335901
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in WATERLOO, IA

Name Credential NPI
JEFFREY ALAN KEMP MS, PT 1881693372
MRS. KIM MARIE SCHONHOFF-REITER PT 1245226158
JONI R WRIGHT PT 1720058175
JUSTINE ZIKUDA MSPT 1013988138
KATHRYN MARIE BOALDIN DPT 1902874944
HEATHER LYNNE WIEDMAN PT 1710940598
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.