Provider Demographics
NPI:1366854622
Name:MEIHAUS, JENNIFER RAE (PT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:RAE
Last Name:MEIHAUS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 WOODSPOINT DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-1543
Mailing Address - Country:US
Mailing Address - Phone:859-371-5731
Mailing Address - Fax:
Practice Address - Street 1:7300 WOODSPOINT DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1543
Practice Address - Country:US
Practice Address - Phone:859-371-5731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH014723225100000X
KY006413225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist