Jackie Church II
Jackie Church II is a Physical Therapy Assistant in Edgerton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
313 Stoughton RdEdgerton, WI 53534-1132
Phone: (608) 884-1390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 783-019 (WI) |
|---|
Record details
| NPI number | 1104029362 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 6, 2007 |
| Last updated in NPPES | July 8, 2007 |
Other providers in Edgerton
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Bobbi Jo Bogner II
313 Stoughton Rd, Edgerton, WI 53534-1132 · (608) 884-3441
-
Mr. Evan Graham Buhrow
313 Stoughton Rd, Edgerton, WI 53534-1132 · (608) 618-2520
-
Shelly Butt
313 Stoughton Rd, Edgerton, WI 53534-1132 · (608) 884-1390
-
Sherry Catacutan
313 Stoughton Rd, Edgerton, WI 53534-1132 · (608) 884-1390
-
Brett Podlinsek
313 Stoughton Rd, Edgerton, WI 53534-1132 · (608) 884-1330
-
MS. Charlene Fay Stipes, PTA
313 Stoughton Rd, Edgerton, WI 53534-1132 · (608) 884-3441