Home » Vermont » 05454 » Krystal Jenness

Krystal Jenness (PT)

Krystal Jenness (PT) is a health care provider specializes in Physical Therapist.

profile-icon Basic Information

Practice Location 1282 Main St, Fairfax, VT 05454-9534, US
Practice Location Phone802-849-9308
Practice Location Fax802-849-9752
GenderFemale
Specialty InPhysical Therapist
NPI ?1114957131
Entity TypeIndividual
Enumeration Date ? Jul 4, 2006
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Krystal Jenness

SpecialtySpecializationLicenseLicense State
Physical Therapist 0400000972Vermont

legacy-id-icon Legacy Provider IDs of Krystal Jenness

Provider IdIssuer StateIssuer TypeIssuer
9150484VermontOtherCIGNA PROVIDER #
364674VermontOtherMVP PROVIDER #
1006936VermontMedicaid
29696VermontOtherBCBS OF VT PROVIDER #