Wiersma, Jacqueline
Wiersma, Jacqueline is an sole proprietor health care provider with primary practice located at 1930 E Southern Ave , Tempe AZ 85282-7518. 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. Wiersma, Jacqueline can be contacted via phone (480) 456-0719.Contact Information
Primary practice address
1930 E Southern Ave
Tempe AZ 85282-7518
Phone: (480) 456-0719
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 7437 | Arizona |
Profile Details
| NPI number | 1154517274 |
|---|---|
| LBN Legal business name | Wiersma, Jacqueline |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2007 |
| Last updated | Sep 15th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154517274 | NPPES |
| Arizona | MEDICAID | 260138 |
Popular Providers
-
Rothman, Judy
1930 E Southern Ave , Tempe AZ 85282 -
Innis, Leslie Sue
4515 S Mcclintock Dr Suite#118, Tempe AZ 85282-7376 -
Chavez-Allen, Kelly S
4930 S Ash Ave Suite 102, Tempe AZ 85282-6773 -
Nelson, Cynthia Marie
1930 E Southern Ave , Tempe AZ 85282-7518 -
Woidke, Elaine F
215 W Lodge Dr , Tempe AZ 85283-3652 -
Falkenberg, Jill Mauren
1930 E Southern Ave , Tempe AZ 85282 -
Gilbert, Sally Anne
1930 E Southern Ave , Tempe AZ 85282-7518 -
Lyon, Stewart Michael
430 W Warner Rd #B 105 , Tempe AZ 85284