Individual
JENNA M SCHLICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3503 E. LAYTON AVE, STE 100, CUDAHY, WI 53110-1408
(414) 489-0270
(414) 489-0356
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 925-5004
(262) 925-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12795-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100040276
—
WI
01
—
12734215
CAQH
WI
Enumeration date
08/08/2014
Last updated
06/06/2023
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