Provider Demographics
NPI:1881499028
Name:LANGJAHR, JALIN R (DPT)
Entity type:Individual
Prefix:
First Name:JALIN
Middle Name:R
Last Name:LANGJAHR
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 BALCH RD # B
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-9715
Mailing Address - Country:US
Mailing Address - Phone:256-325-2130
Mailing Address - Fax:
Practice Address - Street 1:970 BALCH RD # B
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9715
Practice Address - Country:US
Practice Address - Phone:256-325-2130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH12185225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist