Individual
JACOB JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 W HONADEL BLVD, OAK CREEK, WI 53154-2650
(414) 420-2919
Mailing address
2123 27TH ST, KENOSHA, WI 53140-5011
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3213-19
WI
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us