Jenelle Michelle Hunnicutt, DPT
Individual provider Active NPI Physical Therapist · Baldwin City, KS
NPI 1639773302 · NPPES record last updated Nov 24, 2020
Key facts
- NPI
- 1639773302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-06423 (KS)
- Practice address
- 500 Lawrence St
Baldwin City, KS 66006-3022 - Phone
- (520) 250-3241
- NPI assigned
- Nov 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 11-06423 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Home Solutions, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-06423 | KS | Yes |
Addresses
Primary practice location
500 Lawrence St
Baldwin City, KS 66006-3022
Mailing address
12924 Briar Dr
Leawood, KS 66209-1867
Phone (520) 250-3241
Other providers in Baldwin City, KS
- Sarah Hinton
- Richard Hitchcock
- Tim R. Hodges
- Homestead of Baldwin City Operations LLC
- Kevin E. Hughes
- I360Md, LLC
- Cameron Jackson
- Ethan James
- Janice Rawls
- Jenniferkubinnp
All providers in Baldwin City, KS · Physical Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 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.