Provider Demographics
NPI:1417694993
Name:REBECCA JEHN, LLC
Entity Type:Organization
Organization Name:REBECCA JEHN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEHN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:513-708-3743
Mailing Address - Street 1:10 PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:FORT MITCHELL
Mailing Address - State:KY
Mailing Address - Zip Code:41017-2852
Mailing Address - Country:US
Mailing Address - Phone:513-708-3743
Mailing Address - Fax:
Practice Address - Street 1:75 CAVALIER BLVD STE 221
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-3959
Practice Address - Country:US
Practice Address - Phone:513-708-3743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy