JACKIE CHURCH II
NPI 1104029362
Physical Therapy Assistant in Edgerton, WI
About Jackie Church Ii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKIE CHURCH II (NPI 1104029362) is an individual physical therapy assistant in Edgerton, Wisconsin, licensed in Wisconsin (783-019) and active in the NPI registry since June 2007.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jackie Church's NPI number?
The NPI number for Jackie Church is 1104029362. It was assigned to this individual provider in the NPPES registry on June 6, 2007.
Where is Jackie Church located?
Jackie Church practices at 313 Stoughton Rd, Edgerton, WI 53534. The listed phone number is (608) 884-1390.
What is Jackie Church's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Jackie Church was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.