Provider Demographics
NPI:1184273872
Name:ZIEMER, JENNIFER ANN (PT, DPT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANN
Last Name:ZIEMER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:COURTLAND
Mailing Address - State:MN
Mailing Address - Zip Code:56021-9728
Mailing Address - Country:US
Mailing Address - Phone:605-680-4934
Mailing Address - Fax:
Practice Address - Street 1:1324 5TH NORTH ST
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073-1514
Practice Address - Country:US
Practice Address - Phone:507-217-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8563225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist