Individual
MS. JACQUELINE C KERKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, MS, LAT
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2147
Mailing address
324 W STATE ST, BURLINGTON, WI 53105-1812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10285-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40437500
—
WI
Enumeration date
07/10/2007
Last updated
07/12/2012
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