Healthcare Provider Details

I. General information

NPI: 1992836555
Provider Name (Legal Business Name): JENNIFER ELAINE TOOLEY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 MAIN ST STE 1
NORWAY ME
04268-5648
US

IV. Provider business mailing address

181 MAIN ST STE 1
NORWAY ME
04268-5648
US

V. Phone/Fax

Practice location:
  • Phone: 207-744-6160
  • Fax:
Mailing address:
  • Phone: 207-744-6160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT3227
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: