Reynolds-Jensen, Marnie

Reynolds-Jensen, Marnie is an individual health care provider with primary practice located at 9645 Lincolnway Ln Suite 116, Frankfort IL 60423-1866. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Reynolds-Jensen, Marnie can be contacted via phone (815) 464-0101.

Contact Information

Primary practice address
9645 Lincolnway Ln Suite 116 Frankfort IL 60423-1866
Phone: (815) 464-0101
Fax: (815) 464-9191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070006188 Illinois

Profile Details

NPI number 1790112092
LBN Legal business name Reynolds-Jensen, Marnie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2013
Last updated Oct 1st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790112092 NPPES
Illinois Other 070006188 ILLINOIS PHYSICAL THERAPIST LICENSE

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