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NPI 1639619778

IndividualActive

Jennifer Polke, L.M.T.

NPI 1639619778 · Mechanotherapist · Vandergrift, PA

Provider details

NPI number: 1639619778
Entity type: Individual
Primary specialty: MechanotherapistOther Service Providers
Credential: L.M.T.
Sex: Female
Sole proprietor: Yes
License: 010165 (PA)

Practice location

1161 Jane St

Vandergrift, PA 15690-6106

Phone: (412) 498-5163

More PA providers

Mailing address

1161 Jane St

Vandergrift, PA 15690-6106

Registry dates

Enumerated: 2017-03-07
Last updated: 2017-03-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jennifer Polke, L.M.T. — NPI 1639619778, Vandergrift, PA | NPI Central