Provider Demographics
NPI:1588975528
Name:LINDOW, JENNIFER LYNN (PTA,PM)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LYNN
Last Name:LINDOW
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Gender:F
Credentials:PTA,PM
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Mailing Address - Street 1:2611A LYNDALE AVE
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-6010
Mailing Address - Country:US
Mailing Address - Phone:989-779-5551
Mailing Address - Fax:989-773-7821
Practice Address - Street 1:1222 NORTH DR
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-3200
Practice Address - Country:US
Practice Address - Phone:989-779-5551
Practice Address - Fax:989-773-7821
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant