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

Miss. Jeran Marie Wilson, PTA

Individual provider Physical Therapy Assistant · NPI 1922271949

Miss. Jeran Marie Wilson, PTA is a Physical Therapy Assistant in Superior, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2008
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

6630 Ogden Ave
Superior, WI 54880-6056
Phone: (218) 391-8788
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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 1169-019 (WI)

Record details

NPI number1922271949
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 10, 2008
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

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