Provider Demographics
NPI:1356054688
Name:JENNI LIMOGES
Entity type:Organization
Organization Name:JENNI LIMOGES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNI
Authorized Official - Middle Name:
Authorized Official - Last Name:LIMOGES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:775-338-5397
Mailing Address - Street 1:2431 GRIZZLEY RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-7446
Mailing Address - Country:US
Mailing Address - Phone:775-338-5397
Mailing Address - Fax:
Practice Address - Street 1:1221 HASKELL ST STE B
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-2842
Practice Address - Country:US
Practice Address - Phone:775-323-9101
Practice Address - Fax:775-440-1474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy