J
IndividualActive
Jackie Church II
Physical Therapy Assistant
NPI: 1104029362Edgerton, Wisconsin, 53534(608) 884-1390Female
About Jackie Church II
Jackie Church II is a female healthcare professional specializing in Physical Therapy Assistant, registered under National Provider Identifier (NPI) number 1104029362. Their primary practice is located at 313 STOUGHTON RD, Edgerton, Wisconsin 53534.
Patients can reach the office at (608) 884-1390. Jackie Church II has been NPI-registered since 2007.
Doctor Details
Identity & Credentials
- NPI Number
- 1104029362
- Entity Type
- Individual
- First Name
- Jackie
- Last Name
- Church
- Gender
- Female
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 313 STOUGHTON RD
- City
- Edgerton
- State
- Wisconsin
- ZIP
- 53534-1132
- Country
- United States
- Phone
- (608) 884-1390
Specialty & Taxonomy
- Primary Specialty
- Physical Therapy Assistant
- Classification
- Physical Therapy Assistant
- Taxonomy Code
- 225200000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 313 STOUGHTON RD
- City
- EDGERTON
- State
- WI
- ZIP
- 535341132
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Jackie Church II's NPI number?
Jackie Church II's National Provider Identifier (NPI) is 1104029362. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jackie Church II specialize in?
Jackie Church II specializes in Physical Therapy Assistant.
Where is Jackie Church II located?
Jackie Church II practices at 313 STOUGHTON RD, Edgerton, Wisconsin 53534. You can reach them by phone at (608) 884-1390.
Does Jackie Church II accept Medicare?
Based on available data, Jackie Church II is not currently enrolled in the Medicare program.
Does Jackie Church II offer telehealth or virtual visits?
Jackie Church II does not currently offer telehealth services. In-person visits are required at their practice location.
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jackie Church II is 1104029362.