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

MR. JEFFERSON WIGGINS, PT

Active Sole Proprietor

MR. JEFFERSON WIGGINS, PT is a Physical Therapy Assistant healthcare provider located in SOUTHFIELD, Michigan. NPI 1689820268 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SOUTHFIELD, MI

Registration Details

NPI Number
1689820268
Provider Type
Individual
Gender
Male
NPI Issued
Aug 14, 2008 (18.026903259472 yrs)
Last Updated
Dec 29, 2015
License
5501006791 (MI)
Sole Proprietor
Yes

Practice Information

Address
24901 NORTHWESTERN HWY
SUITE #113
SOUTHFIELD, MI, 48075
Browse MI providers · Browse ZIP 48075
Phone
9472828575
Fax
9472828576
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SOUTHFIELD, MI

Name Credential NPI
MRS. REBECCA KANTOR MPT 1962478099
MRS. MICHELE G WEISS PT 1649239070
MR. SANJAY UPPAL P.T, MHS 1508827544
MRS. ARCHANA UPPAL P.T, MHS 1871554816
MS. JOAN CHRISTINE SACKSTEDER P.T. 1457312167
MR. GEORGE O ANDOOPARAMPIL PT 1548223639
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.