Provider Demographics
NPI:1063942613
Name:STAWSKI, JENNIFER MARGIT (ATC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARGIT
Last Name:STAWSKI
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5840 SW HUNTOON ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-2456
Mailing Address - Country:US
Mailing Address - Phone:785-272-9999
Mailing Address - Fax:
Practice Address - Street 1:2608 TIANA TER
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-1950
Practice Address - Country:US
Practice Address - Phone:785-226-2161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer