JENELLE SULLIVAN, PT
Physical Therapist
Active
Individual
NPI: 1376601625
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | PT-1097 (WY) |
Frequently Asked Questions
NPI 1376601625 is the National Provider Identifier for JENELLE SULLIVAN, PT, a Physical Therapist provider located in Jackson, WY. This NPI was enumerated on December 5, 2006.
JENELLE SULLIVAN, PT practices at 1116 MAPLE WAY, Jackson, WY 83002.
Quick Facts
- NPI
- 1376601625
- Type
- Individual
- Enumerated
- Dec 5, 2006
- Last Updated
- Oct 7, 2010
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