Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Kaye Sullivan, DPT

Individual provider Physical Therapist · NPI 1235338377

Jaclyn Kaye Sullivan, DPT is a Physical Therapist in Two Rivers, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

800 Lakefront Way
Two Rivers, WI 54241-3301
Phone: (920) 320-2436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12600 (WI)

Record details

NPI number1235338377
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 17, 2007
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023
Mailing address800 Lakefront Way, Two Rivers, WI 54241-3301

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