Individual
MRS. JODI LEAH HETCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12936-24
WI
Other
Enumeration date
10/24/2017
Last updated
09/10/2020
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