NPI 1235338377

Jaclyn Kaye Sullivan, DPT

Practitioner Physical Therapist Two Rivers, WI

Practice location

Address: 800 Lakefront Way, Two Rivers, WI 54241-3301
Phone: (920) 320-2436

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 12600 (WI)

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Registry record

NPI: 1235338377
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2007
Record last updated: 20 Dec 2023

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.