Individual
MR. JEFFREY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
8619 S HOWELL AVE, OAK CREEK, WI 53154-2919
(414) 791-7809
(262) 364-2248
Mailing address
10233 W GREENFIELD AVE, MILWAUKEE, WI 53214-3911
(414) 791-7809
(262) 364-2248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36102100
—
WI
Enumeration date
03/15/2007
Last updated
10/23/2015
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