Individual
JACLYN M MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7300 WASHINGTON AVE, STE B, MOUNT PLEASANT, WI 53406-6525
(262) 321-6000
Mailing address
6255 N SANTA MONICA BLVD, WHITEFISH BAY, WI 53217-4353
(414) 967-8256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11799-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114215258
—
WI
Enumeration date
07/11/2011
Last updated
12/13/2021
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