Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JEANETTE MARIE DE WITT, PT, ATC

Active

Physical Therapy Assistant · MOUNT PLEASANT, WI

Registration Details

NPI Number: 1528087442
Provider Type: Individual
Gender: Female
NPI Issued: Jul 19, 2006 (19.766249196859 yrs)
Last Updated: Mar 1, 2017
Licenses: 008334 (OH)

11903-24 (WI)

1315-39 (WI)

001071 (OH)

Practice Information

Address: 6233 BANKERS RD STE 12

MOUNT PLEASANT, WI, 534039700
Browse WI providers · Browse ZIP 53403
Phone: 2623586730
Fax: 8662458064
Primary Specialty: Physical Therapy Assistant
225100000X
Additional Specialty: Physical Therapy Assistant
Additional Specialty: Athletic Trainer
Additional Specialty: Athletic Trainer

Other Physical Therapy Assistant Providers in MOUNT PLEASANT, WI

Name	Credential	NPI
MR. DANIEL JAMES GAGE	PHYSICAL THERAPIST	1639176431
DIANNA MARIE HANSON	PT	1982667853
MRS. ELIZABETH MELIS	PT	1104854447
JANIKA N HENOCH	—	1912920398
MRS. KIMBERLY LYNN ARBINGER	PT	1609983097
MR. THOMAS D VAN DE WATER	MPT	1831257369

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.