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

Mrs. Jennifer Henneberg

Individual provider Physical Therapy Assistant · NPI 1407306848

Mrs. Jennifer Henneberg is a Physical Therapy Assistant in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016

Practice location Address checks out

135 N Williamsburg Dr
Bloomington, IL 61704-3528
Phone: (309) 664-9104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160007198 (IL)

Record details

NPI number1407306848
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 10, 2016
Last updated in NPPESOctober 10, 2016

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