Individual
JEDD P WELLENKOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
102 W FULTON ST, EDGERTON, WI 53534-1839
(608) 290-5883
Mailing address
102 W FULTON ST, EDGERTON, WI 53534-1839
(608) 290-5883
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12389024
WI
Other
Enumeration date
07/02/2013
Last updated
02/07/2019
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