Individual
JODY CORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 BLUE IRIS CT, WISCONSIN RAPIDS, WI 54494-4241
(715) 894-9094
Mailing address
1115 BARRY AVE, EAU CLAIRE, WI 54701-7387
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1813-19
WI
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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