Provider Demographics
NPI:1811575137
Name:CLAASSEN, JENNIFER JOLENE (DPT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JOLENE
Last Name:CLAASSEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:JOLENE
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:715 MEDICAL CENTER DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-9056
Mailing Address - Country:US
Mailing Address - Phone:785-207-1700
Mailing Address - Fax:
Practice Address - Street 1:715 MEDICAL CENTER DR STE 300
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-9056
Practice Address - Country:US
Practice Address - Phone:785-207-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-05503225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist