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

Jennie Randle, PTA

Individual provider Physical Therapy Assistant · NPI 1295325702

Jennie Randle, PTA is a Physical Therapy Assistant in Sheboygan, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2131 S Business Dr
Sheboygan, WI 53081-5656
Phone: (920) 917-7104
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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 3090 (WI)

Record details

NPI number1295325702
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJanuary 19, 2021
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021

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