Jennifer Berkers

Individual provider Active NPI Physical Therapist · Marinette, WI

NPI 1982834099 · NPPES record last updated Jul 23, 2009

Key facts

NPI
1982834099
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2248-154 (WI)
Practice address
3821 Irving St
Marinette, WI 54143-1025
Phone
(763) 689-5385
NPI assigned
Jul 23, 2009
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)
No

State licenses

LicenseStateTypeSpecialty
2248-154WIMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2248-154 WI Yes

Addresses

Primary practice location

3821 Irving St
Marinette, WI 54143-1025

Mailing address

3821 Irving St
Marinette, WI 54143-1025

Other providers in Marinette, WI

All providers in Marinette, WI · Physical Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.