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

Individual provider Physical Therapist · NPI 1962795021

Jacqueline C Southard, DPT is a Physical Therapist in Greenfield, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2011
Specialties on file
2
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

9000 W Sura Ln
Greenfield, WI 53228-3477
Phone: (414) 246-6800
Fax: (414) 246-6405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4861 S 27th St, Greenfield, WI 53221-2603 — (414) 325-3325

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11733 (WI)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1962795021
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 24, 2011
Last updated in NPPESDecember 5, 2022
Certification dateDecember 5, 2022
Mailing address3301 W Forest Home Ave, Milwaukee, WI 53215-2843

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