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Individual

DR. JENNIFER A JESCHKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
805 ELM ST, LAKE MILLS, WI 53551-1127
(920) 648-2400
(920) 648-2444
Mailing address
805 ELM ST, LAKE MILLS, WI 53551-1127
(920) 648-2400
(920) 648-2444

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10198-24
WI
225100000X
Physical Therapist
Primary
10198024
WI
2251G0304X
Geriatric Physical Therapist
10198024
WI
2251S0007X
Sports Physical Therapist
10198024
WI
2251X0800X
Orthopedic Physical Therapist
10198024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40431100
WI
Enumeration date
07/25/2006
Last updated
11/11/2022
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