Individual provider · Type 1 NPI

Jennifer Henneberg

Physical Therapy Assistant · Bloomington, IL

NPI number 1407306848 Active

Practice location

135 N Williamsburg Dr
Bloomington, IL 61704-3528

Call (309) 664-9104 Map

Mailing address

2 Cove Pointe Ct
Bloomington, IL 61704-1417

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160007198 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1407306848

Jennifer Henneberg's National Provider Identifier is 1407306848, issued on Oct 10, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bloomington, IL. The record was last updated on Oct 10, 2016.