Provider Demographics
NPI:1225309388
Name:KRAMER, JENNIFER ANNE (LPAT)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ANNE
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LPAT
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:KRAMER
Other - Last Name:LEACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1860 MELLWOOD AVE # 186
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-1033
Mailing Address - Country:US
Mailing Address - Phone:502-415-2250
Mailing Address - Fax:
Practice Address - Street 1:1860 MELLWOOD AVE # 186
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-1033
Practice Address - Country:US
Practice Address - Phone:502-415-2250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist