Provider Demographics
NPI:1215264460
Name:REEKERS, JENNIFER ANFINSON (AUD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ANFINSON
Last Name:REEKERS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:NICOLE
Other - Last Name:ANFINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3726 QUEEN CT SW
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404-3903
Mailing Address - Country:US
Mailing Address - Phone:319-409-5786
Mailing Address - Fax:319-826-6595
Practice Address - Street 1:7270 FORESTVIEW LN N STE 160
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-5698
Practice Address - Country:US
Practice Address - Phone:763-432-3386
Practice Address - Fax:763-432-5498
Is Sole Proprietor?:No
Enumeration Date:2009-11-09
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1007237700000X
IA000720231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist