Individual
JACK CHRISTIAN MARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 GRANT BLVD W, WABASHA, MN 55981-1042
(651) 565-5558
Mailing address
1200 GRANT BLVD W, WABASHA, MN 55981-1042
(651) 565-5558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14242
WI
Other
Enumeration date
02/06/2026
Last updated
02/16/2026
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