Individual
MR. KEITH M JAGLINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
113 4TH AVENUE, SHELL LAKE, WI 54871
(715) 468-7833
(715) 468-7839
Mailing address
113 4TH AVENUE, SHELL LAKE, WI 54871
(715) 468-7833
(715) 468-7839
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
118209
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40477900
—
WI
Enumeration date
03/06/2007
Last updated
12/01/2023
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