MEDICARE: DR JEN RAWLEY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1609762657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR JEN RAWLEY, PLLC

Provider Business Mailing Address
First Line	:	509 N WINNETKA AVE # 102B-4
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-5141
Country	:	US
Telephone Number	:	214-417-9538
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 N WINNETKA AVE # 102B-4
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-5141
Country	:	US
Telephone Number	:	214-417-9538
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JENNIFER E RAWLEY
Credential	:	PSYD
Telephone Number	:	214-417-9538

Provider Enumeration Date	:	06/16/2025
Last Update Date	:	03/07/2026

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