Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE CHURCH II
ActiveJACKIE CHURCH II is a Occupational Therapist healthcare provider located in EDGERTON, Wisconsin. NPI 1104029362 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · EDGERTON, WI
Registration Details
- NPI Number
- 1104029362
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2007 (19.007947741516 yrs)
- Last Updated
- Jul 8, 2007
- License
-
783-019 (WI)
Practice Information
- Address
-
313 STOUGHTON RDEDGERTON, WI, 535341132Browse WI providers · Browse ZIP 53534
- Phone
- 6088841390
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in EDGERTON, WI
| Name | Credential | NPI |
|---|---|---|
| SHERRY CATACUTAN | — | 1588777585 |
| MS. CHARLENE FAY STIPES | PTA | 1841357324 |
| SHELLY BUTT | — | 1235347907 |
| BOBBI JO BOGNER II | — | 1578766721 |
| BRETT PODLINSEK | — | 1457821159 |
| MR. EVAN GRAHAM BUHROW | — | 1568182541 |
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.