Individual
JASON METTLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4554 FORESTDALE DR UNIT C16, PARK CITY, UT 84098-1392
(435) 494-1336
Mailing address
544 SUNRISE BAY RD, NEENAH, WI 54956-4270
(920) 851-3905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/25/2023
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