Individual
MR. JAREN LANE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, OCS, CMT, CSCS
Contact information
Practice address
2600 KILEY WAY, PLYMOUTH, WI 53073-5020
(920) 449-7000
(920) 893-4798
Mailing address
518 SCHOOL ST, KOHLER, WI 53044-1428
(920) 452-1689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6407-024
WI
225100000X
Physical Therapist
6407-24
WI
225100000X
Physical Therapist
PT014216
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40328800
—
WI
Enumeration date
11/07/2006
Last updated
11/02/2020
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