Individual
JACLYN SPEES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5302 ODANA RD, UNIT 207, MADISON, WI 53711-1069
(608) 212-2005
Mailing address
5302 ODANA RD, UNIT 207, MADISON, WI 53711-1069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1273724
WI
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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