NPI 1083275168

Jared Hutterer, PTDPT

Practitioner Physical Medicine & Rehabilitation Physician Lake Mills, WI

Practice location

Address: 805 Elm St, Lake Mills, WI 53551-1127
Phone: (920) 648-2400
Mailing address: 5115 Autumn Leaf Ln APT 175, Madison, WI 53704-8647

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 14609-24 (WI)

Other Physical Medicine & Rehabilitation providers in Wisconsin →

Registry record

NPI: 1083275168
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2019
Record last updated: 27 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.