Provider Demographics
NPI:1457010043
Name:SHEPEK, JENNA (RDH, OMT)
Entity Type:Individual
Prefix:MRS
First Name:JENNA
Middle Name:
Last Name:SHEPEK
Suffix:
Gender:F
Credentials:RDH, OMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 HIGH MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-8426
Mailing Address - Country:US
Mailing Address - Phone:785-313-1518
Mailing Address - Fax:
Practice Address - Street 1:5600 HIGH MEADOW DR
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-8426
Practice Address - Country:US
Practice Address - Phone:785-313-1518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-11
Last Update Date:2021-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist