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

Mrs. Krystal K Jecevicus, PTA

Individual provider Physical Therapy Assistant · NPI 1750630471

Mrs. Krystal K Jecevicus, PTA is a Physical Therapy Assistant in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
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

3415 Sheridan Rd
Kenosha, WI 53140-1924
Phone: (262) 653-2940
Fax: (262) 657-6681
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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 1549-19 (WI)

Record details

NPI number1750630471
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 10, 2012
Last updated in NPPESSeptember 10, 2012

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