Jennifer Ann Blaser, PTA

Physical Therapy Assistant · Rockford, IL

Individual Active NPI

NPI number 1992181796

Practice location

4401 N Main St
Rockford, IL 61103-1277
Phone
(779) 771-6866

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NPI record

NPI
1992181796
Entity type
Individual (Type 1)
Enumeration date
August 4, 2015
Last updated
August 4, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160006093 IL

Mailing address

W7518 Melvin Rd
Browntown, WI 53522-9709
Phone
(608) 214-6548

About Jennifer Blaser

Jennifer Ann Blaser, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 4401 N Main St, Rockford, IL 61103-1277. The NPI number 1992181796 was assigned on August 4, 2015 and the record was last updated on August 4, 2015.

Jennifer Blaser lists a license in the registry: #160006093 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jennifer Ann Blaser, PTA?

The NPI number is 1992181796.

What is the phone number of Jennifer Blaser?

The phone number listed for the practice location is (779) 771-6866.

Where is Jennifer Blaser located?

4401 N Main St, Rockford, IL 61103-1277.

What is the taxonomy code for Jennifer Blaser?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

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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