Healthcare Provider Details

I. General information

NPI: 1871483131
Provider Name (Legal Business Name): JENNA KATHRYN SIEFKEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4229 W FRONTAGE RD N
ROCHESTER MN
55901-4310
US

IV. Provider business mailing address

PO BOX 149
SYRACUSE NE
68446-0149
US

V. Phone/Fax

Practice location:
  • Phone: 507-322-3460
  • Fax: 507-322-3450
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14104
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: