Jackie Church II

  • NPI 1104029362
According to our database, the NPI number for Jackie Church II is 1104029362 and activated since 16 years ago. Jackie Church II is an individual provider who specializes in Physical Therapy Assistant, and the primary practice location is 313 Stoughton Rd, Edgerton, WI 53534. You can also contact Jackie Church II via telephone number is (608) 884-1390. Provider NPI information was last updated on 07/08/2007.

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Overview of Jackie Church II

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/06/2007
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: 783-019
  • License State: WI

Provider Mailing Address

  • Address: 313 Stoughton Rd
    Edgerton, WI 53534
  • Phone: 608-884-1390
  • Fax:

Provider Practice Location

  • Address: 313 Stoughton Rd
    Edgerton, WI 53534
  • Phone: 608-884-1390
  • Fax:

Scope of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: 783-019
  • License State: WI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 783-019
  • Identifier Type: Other
  • Identifier State: WI
  • Issuer: WISCONSIN LICENSE NUMBER

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jackie Church II?
  • A: The npi number for Jackie Church II is 1104029362.
  • Q: What are Jackie Church II's specialties?
  • A: Jackie Church II's specialties are Physical Therapy Assistant and different specialities.
  • Q: What is the medical license for Jackie Church II?
  • A: The medical license number for Jackie Church II is 783-019 and issued in WI in USA.
  • Q: Where is Jackie Church II practice location?
  • A: Jackie Church II is practicing at 313 Stoughton Rd, Edgerton, WI 53534.
  • Q: How to contact Jackie Church II?
  • A: You can contact Jackie Church II via 608-884-1390.