Most Relevant Information
Provider Data
| NPI Number: | 1003530700 |
| Provider Name: | JENNIFER LYNN NEVINSKI DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 16076 |
Most Important Dates
| Enumeration Date: | 09/27/2022 |
| Last Updated: | 07/19/2023 |
Provider Practice Location
N496 MILKY WAY
APPLETON
WI
549153993
Practice Location Phone/Fax
| Phone: | 9207382960 |
| Fax: |
Provider Mailing Location
N496 MILKY WAY
APPLETON
WI
549153993
Provider Mailing Phone/Fax
| Phone: | 9207382000 |
| Fax: |