Provider Demographics
NPI:1740538073
Name:RHEELING, JENNIFER DAWN (MS, ATC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:DAWN
Last Name:RHEELING
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13237 DANGELO DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4727
Mailing Address - Country:US
Mailing Address - Phone:240-472-6942
Mailing Address - Fax:
Practice Address - Street 1:13237 DANGELO DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-4727
Practice Address - Country:US
Practice Address - Phone:240-472-6942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer