SearchIllinois2255A2300X

Jenna Dehoet, ATC/LAT

NPI 1013351311 · on the registry since 2013 · sole proprietor

Practice

Address
1103 40th St
Rock Island, IL 61201
Phone
(309) 786-7793
Clinicians at this address
2

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
2255A2300X
Licence states on file
IL, IA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-04-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois