Jennifer Anderson, PT, MPT

Individual provider Active NPI Physical Therapist · Glasgow, KY

NPI 1184096091 · NPPES record last updated Aug 18, 2024

Key facts

NPI
1184096091
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
009082 (KY)
Practice address
137 Longhunters TRL
Glasgow, KY 42141-1267
Phone
(207) 837-1494
NPI assigned
Oct 30, 2015
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)
Yes

State licenses

LicenseStateTypeSpecialty
009082KYMDPhysical Therapist
PT2787MEMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2787 ME
Physical Therapist 225100000X 009082 KY Yes

Addresses

Primary practice location

137 Longhunters TRL
Glasgow, KY 42141-1267

Mailing address

137 Longhunters TRL
Glasgow, KY 42141-1267

Other providers in Glasgow, KY

All providers in Glasgow, KY · Physical Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.