Jacqueline Ann Krezmien, PT

Individual provider Active NPI Physical Therapist · Manheim, PA

NPI 1467654012 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1467654012
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT013665L (PA)
Practice address
544 N Penryn Rd
Manheim, PA 17545-8562
Phone
(717) 664-6350
Fax
(717) 664-6382
NPI assigned
Jun 5, 2007
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
PT013665LPAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013665L PA Yes

Addresses

Primary practice location

544 N Penryn Rd
Manheim, PA 17545-8562

Mailing address

513 Margin Rd
Lebanon, PA 17042-9105
Phone (717) 273-2258

Other names

  • Miss Jacqueline Ann Miller Former name

Other providers in Manheim, PA

All providers in Manheim, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.