Jeske, Traci M

Jeske, Traci M is an individual health care provider with primary practice located at 507 E Armstrong Ave , Peoria IL 61603-3201. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Jeske, Traci M can be contacted via phone (309) 686-1177.

Contact Information

Primary practice address
507 E Armstrong Ave Peoria IL 61603-3201
Phone: (309) 686-1177
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1528189859
LBN Legal business name Jeske, Traci M
Credentials DEVL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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