Jennifer Bernice Breuer, PTA
Individual provider Active NPI Physical Therapy Assistant · Neligh, NE
NPI 1336775592 · NPPES record last updated Mar 19, 2020
Key facts
- NPI
- 1336775592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1502 (NE)
- Practice address
- 1100 T St
Neligh, NE 68756-1027 - Phone
- (402) 887-5428
- NPI assigned
- Mar 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1502 | NE | Yes |
Addresses
Primary practice location
1100 T St
Neligh, NE 68756-1027
Mailing address
1100 T St
Neligh, NE 68756-1027
Phone (402) 887-5428
Other names
- Jennifer Bernice Rudolf
Other providers in Neligh, NE
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- Blood Pharmacy, LLC
- Joshua Warren Blood
- Wendy Lee Bolling
- Timothy Brovont
- Karli Calkins
- McKenzie Carpenter
- Danelle Lynn Charf
- Cor Therapeutic Services, LLC
All providers in Neligh, NE · Physical Therapy Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2020. 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.