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NPI Code Detail

MEDICARE: MS. LAURA KATHLEEN JENNINGS PT

MEDICARE:  MS. LAURA KATHLEEN JENNINGS  PT
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
1225100000XPhysical TherapistPT2385AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25W757OTHERARBCBS

General Provider Information

NPI Number : 1144303694
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA KATHLEEN JENNINGS PT
Provider Business Mailing Address
First Line : 6917 GEYER SPRINGS RD
Second Line : SUITE 1-S
City : LITTLE ROCK
State : AR
Zip : 72209-2727
Country : US
Telephone Number : 501-570-4004
Fax Number : 501-570-4003
Provider Business Practice Location Address
First Line : 6917 GEYER SPRINGS RD
Second Line : SUITE 1-S
City : LITTLE ROCK
State : AR
Zip : 72209-2727
Country : US
Telephone Number : 501-570-4004
Fax Number : 501-570-4003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 09/06/2011

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Directions to “ MS. LAURA KATHLEEN JENNINGS PT” Practice Location

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