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

Mrs. Jessica Elaine Koehneke, CTRS

Individual provider Recreation Therapist · NPI 1821805870

Mrs. Jessica Elaine Koehneke, CTRS is a Recreation Therapist in Fort Wayne, Indiana. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

101 W Dupont Rd
Fort Wayne, IN 46825-1915
Phone: (260) 489-1774
Fax: (260) 489-1777
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X

Record details

NPI number1821805870
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedDecember 13, 2024
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

Other providers in Fort Wayne