Provider Demographics
NPI:1770666323
Name:ARMET, JENNIFER SHUEY
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:SHUEY
Last Name:ARMET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 MAIN ST # B
Mailing Address - Street 2:COLONIAL SHOPPING CENTER
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-2641
Mailing Address - Country:US
Mailing Address - Phone:413-458-8090
Mailing Address - Fax:
Practice Address - Street 1:212 MAIN ST # B
Practice Address - Street 2:COLONIAL SHOPPING CENTER
Practice Address - City:WILLIAMSTOWN
Practice Address - State:MA
Practice Address - Zip Code:01267-2641
Practice Address - Country:US
Practice Address - Phone:413-458-8090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11674225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0330710Medicaid
MAARY67572OtherBLUE CROSS BLUE SHIELD
MAY68568Medicare ID - Type Unspecified