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

MADELINE RAE JELACIC, PT, DPT

Active Sole Proprietor

MADELINE RAE JELACIC, PT, DPT is a Physical Therapy Assistant healthcare provider located in LA CROSSE, Wisconsin. NPI 1790423390 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LA CROSSE, WI

Registration Details

NPI Number
1790423390
Provider Type
Individual
Gender
Female
NPI Issued
May 24, 2022 (4.2381157002317 yrs)
Last Updated
Aug 28, 2024
License
16758 (WI)
Sole Proprietor
Yes

Practice Information

Address
1836 SOUTH AVE
LA CROSSE, WI, 546015429
Browse WI providers · Browse ZIP 54601
Phone
6087758194
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LA CROSSE, WI

Name Credential NPI
KRISTEN F BRINKS PT 1619971371
PAUL F REUTEMAN PT 1629072004
GEORGE J DAVIES PT 1053316299
DIANE FLETCHER KLOS PT 1609871508
PAMELA J JOHNSON-STUHR PT 1063418499
HANNI R COWLEY PT 1013902402
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.