NPI 1003587411

Maria Anne Jacenko, PT

Practitioner Physical Therapist Duluth, MN

Practice location

Address: 724 Maple Grove Rd, Duluth, MN 55811-4521
Phone: (218) 724-4900
Mailing address: 500 Cross St, Big Stone City, SD 57216-8237

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 4536 (MN)

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Registry record

NPI: 1003587411
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2021
Record last updated: 13 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.