Tesch, Jacie Lynn

Tesch, Jacie Lynn is an individual health care provider with primary practice located at 4605 Valdres Springs Ct. , Weston WI 54476. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Tesch, Jacie Lynn can be contacted via phone (715) 393-0400.

Contact Information

Primary practice address
4605 Valdres Springs Ct. Weston WI 54476
Phone: (715) 393-0400
Fax: (715) 393-0435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6059-024 Wisconsin

Profile Details

NPI number 1285790931
LBN Legal business name Tesch, Jacie Lynn
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jun 30th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285790931 NPPES
Wisconsin MEDICAID 40344600

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