Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON KYLE FANDREY, PT
ActivePhysical Therapy Assistant · MOSINEE, WI
Registration Details
- NPI Number
- 1013238377
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2010 (15.869344097759 yrs)
- Last Updated
- Jun 22, 2010
- License
-
11421-24 (WI)
Practice Information
- Address
-
1021 WESTERN AVESUITE BMOSINEE, WI, 544551511Browse WI providers · Browse ZIP 54455
- Phone
- 7156937727
- Fax
- 7156937171
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MOSINEE, WI
| Name | Credential | NPI |
|---|---|---|
| LEAH J BOUTON | PT | 1558461715 |
| STEPHANIE ROTH | PT | 1790176675 |
| BRANDON JACOB PATOKA | DPT | 1568273696 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.