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NPI Code Detail

MEDICARE: JENNIFER LYNN NOEL PT

MEDICARE: JENNIFER LYNN NOEL 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 TherapistPTP-PT-LIC-2335MT

Other Identifiers

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

General Provider Information

NPI Number : 1710962261
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN NOEL PT
Provider Business Mailing Address
First Line : 256 SKYVIEW LN
Second Line :
City : DEER LODGE
State : MT
Zip : 59722-9559
Country : US
Telephone Number : 406-560-1552
Fax Number : 406-846-1347
Provider Business Practice Location Address
First Line : 1100 HOLLENBECK LN
Second Line :
City : DEER LODGE
State : MT
Zip : 59722-2317
Country : US
Telephone Number : 406-846-1991
Fax Number : 406-846-1347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 03/09/2021

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