DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JENNIFER REQUEJO DPT

MEDICARE: JENNIFER REQUEJO DPT
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 Therapist8509MN

General Provider Information

NPI Number : 1215489448
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER REQUEJO DPT
Provider Business Mailing Address
First Line : 14670 BRUNSWICK AVE S
Second Line :
City : SAVAGE
State : MN
Zip : 55378-2856
Country : US
Telephone Number : 507-676-6208
Fax Number :
Provider Business Practice Location Address
First Line : 512 49TH AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55430-3621
Country : US
Telephone Number : 612-607-5807
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2016
Last Update Date : 11/04/2016

Similar Medicare Providers

1477541282 — AMERICAN BAPTIST HOMES OF THE MIDWEST
Practice Location Address:
512 49TH AVE N
MINNEAPOLIS, MN
55430-3621
Practice Phone: 612-529-7747
Practice Fax: 612-529-5643
1255424115 — LONG TERM CARE SPECIALISTS INC
Practice Location Address:
512 49TH AVE N
MINNEAPOLIS, MN
55430-3621
Practice Phone: 612-529-7747
Practice Fax: 612-607-5821
1992918601 — MISS ELIZABETH MARIE LINDNER OTR
Practice Location Address:
512 49TH AVE N
MINNEAPOLIS, MN
55430-3621
Practice Phone: 952-955-2242
Practice Fax: 952-955-2010
1235482407 — VIDELL HEALTHCARE CAMDEN, L.L.C.
Practice Location Address:
512 49TH AVE N
MINNEAPOLIS, MN
55430-3621
Practice Phone: 253-277-3197
Practice Fax:
1699142372 — 512 49TH AVENUE NORTH, LLC
Practice Location Address:
512 49TH AVE N
MINNEAPOLIS, MN
55430-3621
Practice Phone: 612-529-7747
Practice Fax:
1437697976 — JOCELYN BRUCE
Practice Location Address:
512 49TH AVE N
MINNEAPOLIS, MN
55430-3621
Practice Phone: 612-278-7902
Practice Fax:

Directions to “ JENNIFER REQUEJO DPT” 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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.