Individual
JESSICA LEE BOETTGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
742 STERBENZ DR, HUDSON, WI 54016-8327
(715) 386-2128
(715) 386-6119
Mailing address
742 STERBENZ DR, HUDSON, WI 54016-8327
(715) 386-2128
(715) 386-6119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14688
WI
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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