Individual
JEANNE HANDRICK MATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1106 4TH AVENUE, WOODRUFF, WI 54568-9729
(715) 356-9729
(715) 358-5209
Mailing address
PO BOX 827, WOODRUFF, WI 54568-0827
(715) 356-9729
(715) 358-5209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1942-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000083026
MEDICARE
WI
05
—
40023500
—
WI
Enumeration date
11/09/2006
Last updated
06/08/2011
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