Provider Demographics
NPI:1649344565
Name:KASEMEYER, JENNIFER LYNN (ATC)
Entity type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:LYNN
Last Name:KASEMEYER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
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Mailing Address - Street 1:45715 LAKEVIEW CT
Mailing Address - Street 2:APT #10206
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-3821
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1501 N MILFORD RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-1006
Practice Address - Country:US
Practice Address - Phone:248-676-0666
Practice Address - Fax:248-676-9336
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer