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NPI Code Detail

MEDICARE: HEATHER JENKINS

MEDICARE:   HEATHER  JENKINS
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 Therapist02829LA
2225100000XPhysical Therapist12642AZ

General Provider Information

NPI Number : 1194925768
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER JENKINS
Provider Business Mailing Address
First Line : PSC 482 BOX 1600
Second Line :
City : FPO
State : AP
Zip : 96362-0017
Country : US
Telephone Number : 315-646-7430
Fax Number :
Provider Business Practice Location Address
First Line : PSC 482 BOX 1600
Second Line :
City : FPO
State : AP
Zip : 96362-0017
Country : US
Telephone Number : 315-646-7430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2007
Last Update Date : 02/04/2025

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Directions to “ HEATHER JENKINS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.