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Individual

ALYSA JANKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
2046 QUEENSBROOKE BLVD STE 101, SAINT PETERS, MO 63376-7852
(636) 875-7085
Mailing address
120 HILLSIDE CT, STODDARD, WI 54658-9565
(952) 843-3096

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16382-024
WI
261QP2000X
Physical Therapy Clinic/Center
CP049168T
MO

Other

Enumeration date
06/16/2023
Last updated
09/03/2025
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