Individual
MACIEJ JASKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
60160 BODNAR BLVD, MISHAWAKA, IN 46544-9338
(574) 247-9441
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003192A
IN
Other
Enumeration date
03/13/2017
Last updated
01/16/2025
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