Individual
JASON SCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 N MEADOWBROOK LN, WAUNAKEE, WI 53597-2833
(608) 444-1741
Mailing address
705 N MEADOWBROOK LN, WAUNAKEE, WI 53597-2833
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
225619
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225619
—
WI
Enumeration date
11/19/2014
Last updated
11/19/2014
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