NPI 1174988430

Jillian Mondry, PTA

Practitioner Physical Therapy Assistant Ashland, WI

Practice location

Address: 911 3rd St W, Ashland, WI 54806-1311
Phone: (715) 682-8172

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2421-19 (WI)

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Registry record

NPI: 1174988430
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2015
Record last updated: 30 Dec 2015

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.