Provider Demographics
NPI:1053151183
Name:MARSHAL, JENNA ANN
Entity type:Individual
Prefix:MISS
First Name:JENNA
Middle Name:ANN
Last Name:MARSHAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2223 VICTOR ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-1203
Mailing Address - Country:US
Mailing Address - Phone:937-621-8138
Mailing Address - Fax:
Practice Address - Street 1:2223 VICTOR ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-1203
Practice Address - Country:US
Practice Address - Phone:937-621-8138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant