Jenny Marie Londerholm, PT, DPT
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Eden, TX
NPI 1134878614 · NPPES record last updated Mar 22, 2022
Key facts
- NPI
- 1134878614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 1309249 (TX)
- Practice address
- 614 Eaker St
Eden, TX 76837 - Phone
- (325) 869-5911
- Fax
- (325) 869-1112
- NPI assigned
- Mar 22, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1309249 | TX | MD | Physical Medicine & Rehabilitation Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 1309249 | TX | Yes |
Addresses
Primary practice location
614 Eaker St
Eden, TX 76837
Mailing address
PO Box 987
Eden, TX 76837-0987
Phone (325) 869-5911
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jenny.londerholm@conchoch.com | Direct |
Other providers in Eden, TX
- Jakalyn Jane Gossett
- Raul Mendez Guevara
- Anne Catherine Hofer
- Ryleigh Annette Hyles
- Dalyn J Johnson
- Nneka Crystal Papillion
- Provider Healthcare Services of Concho LP
- Randall L. Sloan, D.O., PLLC
- Kelli J Short
- Girly Orlando Tubayan
All providers in Eden, TX · Physical Medicine & Rehabilitation Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.