Provider Demographics
NPI:1770971194
Name:CLAPSADDLE-JANSSEN, JEANNE
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:CLAPSADDLE-JANSSEN
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 1:2528 COVEY CT
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-4940
Mailing Address - Country:US
Mailing Address - Phone:641-640-0126
Mailing Address - Fax:
Practice Address - Street 1:2528 COVEY CT
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-4940
Practice Address - Country:US
Practice Address - Phone:641-640-0126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00588225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant