Provider Demographics
NPI:1558307207
Name:MUSSER, JENNIFER K (MPT)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:K
Last Name:MUSSER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 BROOKFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-8103
Mailing Address - Country:US
Mailing Address - Phone:717-314-0836
Mailing Address - Fax:
Practice Address - Street 1:190 N POINTE BLVD
Practice Address - Street 2:SUITE TWO
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4132
Practice Address - Country:US
Practice Address - Phone:717-392-8897
Practice Address - Fax:717-392-8898
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT012898L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7886339OtherAETNA
PA2075233000OtherKEYSTONE HEALTH PLAN EAST
PA1384485OtherHIGHMARK BLUE SHIELD
PA211120OtherHEALTHAMERICA/HEALTHASSUR
PA03219501OtherKEYSTONE HEALTH PLAN CENT
PA03219501OtherNCAS
PA03219501OtherCAPITAL BLUE CROSS
PA2075233000OtherINDEPENDENCE BLUE CROSS
PA1384485OtherPREMIER BLUE PPO
PA2075233000OtherPERSONAL CHOICE
PA7886339OtherAETNA
PA2075233000OtherKEYSTONE HEALTH PLAN EAST