Provider Demographics
NPI:1750102984
Name:PLOSKI, JENNA NICOLE (MT-BC, NMT)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:NICOLE
Last Name:PLOSKI
Suffix:
Gender:F
Credentials:MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 BALTIMORE ST # 208
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-2328
Mailing Address - Country:US
Mailing Address - Phone:814-694-6191
Mailing Address - Fax:
Practice Address - Street 1:123 BALTIMORE ST # 208
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2328
Practice Address - Country:US
Practice Address - Phone:814-694-6191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist