Provider Demographics
NPI:1881469724
Name:SMITTENDORF, JENNIFER (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:SMITTENDORF
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16977 E Y AVE
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MI
Mailing Address - Zip Code:49052-9711
Mailing Address - Country:US
Mailing Address - Phone:269-924-9463
Mailing Address - Fax:
Practice Address - Street 1:101 S CAPITAL AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:MI
Practice Address - Zip Code:49011-5102
Practice Address - Country:US
Practice Address - Phone:269-924-9463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-21
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301401466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor