Individual
JACIE LYNN TESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4605 VALDRES SPRINGS CT., WESTON, WI 54476
(715) 393-0400
(715) 393-0435
Mailing address
4605 VALDRES SPRINGS CT., WESTON, WI 54476
(715) 393-0400
(715) 393-0435
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6059-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40344600
—
WI
Enumeration date
12/28/2006
Last updated
06/30/2009
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