Most Relevant Information
Provider Data
| NPI Number: | 1003820499 |
| Provider Name: | JENNIFER NOEL SKIDMORE MSPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT008715 |
Most Important Dates
| Enumeration Date: | 07/28/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
711 RUSH AVE
BELLEFONTAINE
OH
43311
Practice Location Phone/Fax
| Phone: | 9375921625 |
| Fax: | 9375921625 |
Provider Mailing Location
711 RUSH AVE
BELLEFONTAINE
OH
43311
Provider Mailing Phone/Fax
| Phone: | 9375921625 |
| Fax: | 9375923489 |