Jennifer Polke, L.M.T.
Individual provider Active NPI Mechanotherapist · Vandergrift, PA
NPI 1639619778 · NPPES record last updated Mar 7, 2017
Key facts
- NPI
- 1639619778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mechanotherapist 172M00000X
- License
- 010165 (PA)
- Practice address
- 1161 Jane St
Vandergrift, PA 15690-6106 - Phone
- (412) 498-5163
- NPI assigned
- Mar 7, 2017
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010165 | PA | MD | Mechanotherapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 010165 | PA | Yes |
Addresses
Primary practice location
1161 Jane St
Vandergrift, PA 15690-6106
Mailing address
1161 Jane St
Vandergrift, PA 15690-6106
Phone (412) 498-5163
Other providers in Vandergrift, PA
- Andrew Gregory Pallus
- Danielle Marie Papincak
- Mohan M Patel
- Physician Landing Zone, P.C.
- Pinnacle Living Home Services
- Joseph J Raglani
- David F Ranieri
- RHJ Medical Center Vandergrift LLC
- James Richardson
- Donna J Rife
All providers in Vandergrift, PA · Mechanotherapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2017. 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.