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

Jaclyn L Dodd, PTA

Individual provider Physical Therapy Assistant · NPI 1427225721

Jaclyn L Dodd, PTA is a Physical Therapy Assistant in De Pere, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

200 S 9th St
De Pere, WI 54115-1393
Phone: (920) 336-5680
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1760 Shawano Ave, Green Bay, WI 54303-3216 — (920) 499-5191

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1362-19 (WI)
Physical Therapy Assistant Taxonomy 225200000X · Licence 1362 (WI)

Record details

NPI number1427225721
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 15, 2008
Last updated in NPPESMarch 14, 2019
Mailing address204 S Helen St, Kimberly, WI 54136-1727

Other providers in De Pere