Individual
JESSI REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2835 N GRANDVIEW BLVD, PEWAUKEE, WI 53072-5546
(262) 574-1100
(262) 574-5193
Mailing address
103 N 75TH ST, MILWAUKEE, WI 53213-3515
(262) 227-3473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
662-39
WI
Other
Enumeration date
10/22/2007
Last updated
01/15/2015
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