Individual
JENNIFER C NETTESHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
(608) 755-7892
Mailing address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
(608) 755-7892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11957-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790048015
—
WI
01
—
MANZJEN
MERCYCARE INSURANCE
WI
Enumeration date
06/21/2012
Last updated
04/11/2017
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