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

Jennifer Lynn Balthazor, PT

Individual provider Physical Therapist · NPI 1093981623

Jennifer Lynn Balthazor, PT is a Physical Therapist in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2919 Shelter Creek Ct
Green Bay, WI 54313-4549
Phone: (920) 429-0921
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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 4842-24 (WI)

Record details

NPI number1093981623
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 4, 2008
Last updated in NPPESMay 4, 2008

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