Active NPIIndividual providerSole proprietor

Krystal Jenness, PT

Physical Therapist in Fairfax, Vermont

NPI Number1114957131
Practice location
1282 Main St, Fairfax, VT 05454-9534
Fax
802-849-9752
Last updated
July 8, 2007

Krystal Jenness is a Physical Therapist based in Fairfax, VT. Krystal Jenness practices in Fairfax, VT and has the professional credentials of PT. The NPI Number for Krystal Jenness is 1114957131 and holds a License No. 0400000972 (VT). The current practice location address for Krystal Jenness is 1282 Main St, Fairfax, VT 05454-9534 and can be reached out via phone at 802-849-9308 and via fax at 802-849-9752.

Provider Profile Details

NPI Number
1114957131
Provider Name
Krystal Jenness
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
1282 Main St, Fairfax, VT 05454-9534
Phone Number
802-849-9308
Fax Number
802-849-9752
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
July 4, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1282 Main St
Fairfax, VT 05454-9534
State
Vermont
Zip
05454-9534
Phone Number
802-849-9308
Fax Number
802-849-9752
Fairfax, VT 05454Get directions →

Provider Business Mailing Address Details

Address
303 Lloyd RD
Fairfax, VT 05454-4403
City
Fairfax
State
VT
Zip
05454-4403

License Information

License Number
0400000972
License State
VT
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Krystal Jenness, PT?

The NPI number of Krystal Jenness, PT is 1114957131. It was assigned on July 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Krystal Jenness, PT?

Krystal Jenness, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in VT under license number 0400000972.

Where does Krystal Jenness, PT practice?

The practice location is 1282 Main St, Fairfax, VT 05454-9534. The office can be reached at 802-849-9308 (phone) or 802-849-9752 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114957131 directly on the NPPES registry website.

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