Individual
JENNA DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7300 WASHINGTON AVE STE B, MOUNT PLEASANT, WI 53406-6525
(262) 321-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16284-24
WI
225100000X
Physical Therapist
Primary
1628424
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100241048
—
WI
Enumeration date
06/09/2023
Last updated
06/15/2026
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