NPI 1639619778

Jennifer Polke, LMT

Practitioner Mechanotherapist Vandergrift, PA

Practice location

Address: 1161 Jane St, Vandergrift, PA 15690-6106
Phone: (412) 498-5163

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 010165 (PA)

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Registry record

NPI: 1639619778
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2017
Record last updated: 7 Mar 2017

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.