Individual provider · Type 1 NPI
Jaletha Jenkins, LBSW
Prosthetic/Orthotic Supplier · South Bend, IN
Practice location
2004 Fremont St
South Bend, IN 46628-3153
Mailing address
6101 N Keystone Ave Ste 100
Indianapolis, IN 46220-2499
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
| Social Worker | 104100000X | 33900285A (IN) |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
About NPI 1114703303
Jaletha Jenkins, LBSW's National Provider Identifier is 1114703303, issued on Sep 5, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in South Bend, IN. The record was last updated on Sep 5, 2023.