Provider Demographics
NPI:1679074546
Name:SZPEK, JENNA LYN (DPT)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:LYN
Last Name:SZPEK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:LYN
Other - Last Name:WOELFEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:8290 UNIVERSITY AVE NE STE 200
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-1876
Mailing Address - Country:US
Mailing Address - Phone:763-786-9543
Mailing Address - Fax:
Practice Address - Street 1:8290 UNIVERSITY AVE NE STE 200
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-1876
Practice Address - Country:US
Practice Address - Phone:763-786-9543
Practice Address - Fax:763-786-3320
Is Sole Proprietor?:No
Enumeration Date:2018-02-26
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN10785225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist