Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeannine Marie Knickerbocker, DPT

Individual provider Physical Therapist · NPI 1962561969

Jeannine Marie Knickerbocker, DPT is a Physical Therapist in Waterloo, Iowa. Licensed in Iowa. Registered with an NPI since 2006.

Licensed in
IA
In the registry since
2006
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1731 W Ridgeway Ave
Waterloo, IA 50701-4594
Phone: (319) 833-5900
Fax: (319) 833-5901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 03966 (IA)

Record details

NPI number1962561969
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 6, 2006
Last updated in NPPESDecember 7, 2007

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