Individual
JOHN R JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2901 HOOVER RD, STEVENS POINT, WI 54481-5608
(715) 254-3978
(715) 254-3936
Mailing address
3900 NEBEL ST, STEVENS POINT, WI 54481-5544
(715) 570-1022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5962
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5962
WI LICENSE#
WI
Enumeration date
03/26/2007
Last updated
10/01/2020
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