Individual
JORDYN KAZANECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4187
(715) 847-2121
Mailing address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16272-24
WI
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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