Individual
JACLEEN HESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
528 W PINE ST, EAGLE RIVER, WI 54521-9083
(715) 365-5252
Mailing address
586 SHEPARD ST, RHINELANDER, WI 54501-3552
(715) 365-5252
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
293819
WI
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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