Individual
JENNIFER MARIE THEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
201 N MAYFAIR RD, WAUWATOSA, WI 53226-4216
(414) 259-7275
(414) 259-7515
Mailing address
13820 W PADDOCK PKWY, NEW BERLIN, WI 53151-2593
(630) 865-6624
(414) 259-7515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-015945
IL
225100000X
Physical Therapist
Primary
14912-24
WI
Other
Enumeration date
07/20/2007
Last updated
07/17/2025
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