Provider Demographics
NPI:1720487416
Name:ALLGAIER, JENNIFER
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:ALLGAIER
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 1:4134 CENTRAL SARASOTA PKWY
Mailing Address - Street 2:APT 1727
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-6636
Mailing Address - Country:US
Mailing Address - Phone:941-587-6200
Mailing Address - Fax:
Practice Address - Street 1:4134 CENTRAL SARASOTA PKWY
Practice Address - Street 2:APT 1727
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-6636
Practice Address - Country:US
Practice Address - Phone:941-587-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA30499225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist