Provider Demographics
NPI:1902964273
Name:JENKINS, MAAIKE ANN (MPT)
Entity type:Individual
Prefix:MRS
First Name:MAAIKE
Middle Name:ANN
Last Name:JENKINS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
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Mailing Address - Street 1:34 WEST WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022
Mailing Address - Country:US
Mailing Address - Phone:440-247-2644
Mailing Address - Fax:440-247-0131
Practice Address - Street 1:96 BROADWAY STREET
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:OH
Practice Address - Zip Code:44041
Practice Address - Country:US
Practice Address - Phone:440-466-6333
Practice Address - Fax:440-247-0131
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT0094592251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic