Jackie Church Ii is a Edgerton, Wisconsin based female who is specialized as Physical Therapist Assistant. Active license number of Jackie Church Ii as Physical Therapist Assistant is 783-019 in Wisconsin. Jackie Church Ii is an individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. She help patients to follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist.
Complete Profile:
Jackie Church Ii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Physical Therapy Assistant
Gender:
Female
Practice Address:
313 Stoughton Rd, Edgerton, Wisconsin, 53534-1132
Phone:
608-884-1390
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1104029362
NPI Enumeration Date:
06 Jun, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackie Church Ii are as mentioned below.
License Number
Specialization
State
Status
783-019
Physical Therapy Assistant
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jackie Church Ii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
783-019
Other
Wisconsin
WISCONSIN LICENSE NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
313 Stoughton Rd, Edgerton, Wisconsin
Zip:
53534-1132
Phone Number:
608-884-1390
Fax Number:
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Patients can reach Jackie Church Ii at 313 Stoughton Rd, Edgerton, Wisconsin or can call to book an appointment on 608-884-1390. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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