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NPI Code Detail

MEDICARE: JENNIFER R HIKE PTA

MEDICARE: JENNIFER R HIKE PTA
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
1225200000XPhysical Therapy Assistant001272IA

General Provider Information

NPI Number : 1235363748
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER R HIKE PTA
Provider Business Mailing Address
First Line : 418 N LINCOLN ST
Second Line :
City : LAKE CITY
State : IA
Zip : 51449-1328
Country : US
Telephone Number : 615-896-6400
Fax Number :
Provider Business Practice Location Address
First Line : 135 WARNER ST
Second Line :
City : ROCKWELL CITY
State : IA
Zip : 50579-1722
Country : US
Telephone Number : 615-896-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2009
Last Update Date : 05/12/2009

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Directions to “ JENNIFER R HIKE PTA” Practice Location

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