Maria Anne Jacenko, PT

Physical Therapist · Duluth, MN

Individual Active NPI

NPI number 1003587411

Practice location

724 Maple Grove Rd
Duluth, MN 55811-4521
Phone
(218) 724-4900

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NPI record

NPI
1003587411
Entity type
Individual (Type 1)
Enumeration date
September 24, 2021
Last updated
January 13, 2022
Certified
January 13, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 4536 MN

Mailing address

500 Cross St
Big Stone City, SD 57216-8237
Phone
(605) 541-1140

About Maria Jacenko

Maria Anne Jacenko, PT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 724 Maple Grove Rd, Duluth, MN 55811-4521. The NPI number 1003587411 was assigned on September 24, 2021 and the record was last updated on January 13, 2022.

Maria Jacenko lists a license in the registry: #4536 (MN) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Maria Anne Jacenko, PT?

The NPI number is 1003587411.

What is the phone number of Maria Jacenko?

The phone number listed for the practice location is (218) 724-4900.

Where is Maria Jacenko located?

724 Maple Grove Rd, Duluth, MN 55811-4521.

What is the taxonomy code for Maria Jacenko?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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