Provider Demographics
NPI:1518100791
Name:JANSSEN, JANELLE DAWN (DPT)
Entity Type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:DAWN
Last Name:JANSSEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:DAWN
Other - Last Name:MEYER JANSSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:3100 23RD ST
Mailing Address - Street 2:SUITE 15
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-3161
Mailing Address - Country:US
Mailing Address - Phone:402-562-7346
Mailing Address - Fax:402-562-8331
Practice Address - Street 1:3100 23RD ST
Practice Address - Street 2:SUITE 15
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-3161
Practice Address - Country:US
Practice Address - Phone:402-562-7346
Practice Address - Fax:402-562-8331
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2064225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist