Provider Demographics
NPI:1386773471
Name:LUERS, JERILYN J (PT)
Entity type:Individual
Prefix:MRS
First Name:JERILYN
Middle Name:J
Last Name:LUERS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:JERILYN
Other - Middle Name:J
Other - Last Name:FRICKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3211 DIVISION ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-1692
Mailing Address - Country:US
Mailing Address - Phone:319-754-7899
Mailing Address - Fax:
Practice Address - Street 1:3211 DIVISION ST
Practice Address - Street 2:SUITE 3
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-1692
Practice Address - Country:US
Practice Address - Phone:319-754-7899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02232225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist