Individual
MRS. JAMIE LEIGH CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16985 W BLUEMOUND RD, BROOKFIELD, WI 53005-5909
(262) 821-4460
Mailing address
16985 W BLUEMOUND RD, BROOKFIELD, WI 53005-5909
(262) 821-4460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14663
WI
2255A2300X
Athletic Trainer
1648
WI
Other
Enumeration date
03/06/2015
Last updated
05/28/2024
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