Individual ProviderJennifer Ann MannistoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8405 Streamview Dr Apt P, Huntersville, NC 28078-6133(585) 314-1811PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Ann Mannisto does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1235533969Provider TypeIndividualFull NameMannisto, Jennifer AnnGenderFemaleSole ProprietorNoEnumeration Date10/9/2014Last Updated10/9/2014Contact InformationPractice LocationPractice Address8405 Streamview Dr Apt P, Huntersville, NC 28078-6133Phone(585) 314-1811FaxUnlisted FaxMailing LocationMailing Address8405 Streamview Dr Apt P, Huntersville, NC 28078-6133Phone(585) 314-1811FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense15000North Carolina