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

Mrs. Jacquelyn Ann Kubiak, PT

Individual provider Physical Therapist · NPI 1083157473

Mrs. Jacquelyn Ann Kubiak, PT is a Physical Therapist in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
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

4111 W Mitchell St
Milwaukee, WI 53215-1748
Phone: (414) 643-3860
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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 4777 (WI)

Record details

NPI number1083157473
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 2, 2016
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022

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