Provider Demographics
NPI:1215689153
Name:JONES, BRENNA KATHLEEN NIEHAUS (DPT)
Entity type:Individual
Prefix:DR
First Name:BRENNA
Middle Name:KATHLEEN NIEHAUS
Last Name:JONES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:BRENNA
Other - Middle Name:KATHLEEN
Other - Last Name:NIEHAUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:995 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-3324
Mailing Address - Country:US
Mailing Address - Phone:513-600-2990
Mailing Address - Fax:
Practice Address - Street 1:1350 ALUM CREEK DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-2705
Practice Address - Country:US
Practice Address - Phone:614-262-7520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist