Provider Demographics
NPI:1952974156
Name:HARPSTER, JENNIFER KAREN
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:KAREN
Last Name:HARPSTER
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 1:62 ROAD 315
Mailing Address - Street 2:
Mailing Address - City:GLENDIVE
Mailing Address - State:MT
Mailing Address - Zip Code:59330-9324
Mailing Address - Country:US
Mailing Address - Phone:406-939-3961
Mailing Address - Fax:
Practice Address - Street 1:950 E PARK ST
Practice Address - Street 2:
Practice Address - City:PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57501-4154
Practice Address - Country:US
Practice Address - Phone:605-224-8628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1004225X00000X
ND1853225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist