Individual
MRS. JACEY LEANN JANZ VERNOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 LAKE SHORE DR E, ASHLAND, WI 54806
(715) 685-6600
(715) 685-6601
Mailing address
2201 LAKE SHORE DR E, ASHLAND, WI 54806-2331
(715) 685-6600
(715) 685-6601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14170
WI
225200000X
Physical Therapy Assistant
1997-19
WI
Other
Enumeration date
04/03/2013
Last updated
05/17/2018
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