Jacklyn Cole
Physical Therapy Assistant in Minocqua, WI. Individual provider (NPI-1).
NPI number1467937342
StatusActive
Last updated in NPPESSep 26, 2018
Details
- NPI
- 1467937342
- Entity type
- Individual (NPI-1)
- Name
- Jacklyn Cole
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2018
- Last updated
- Sep 26, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2777-19 | WI | Yes |
Practice location
9969 Old Highway 70Minocqua, WI 54548-9010
Phone 715-356-6016
Mailing address
3564 Driscoll Rd Apt 12Rhinelander, WI 54501-3675
Phone 920-615-6222
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Minocqua, WI
- Elijah BrownNPI 1457272007
- Bryan Francis KlisterNPI 1962042861
- Rebecca Ann Steffensen, PTANPI 1306358395
- Wesley David TheuerkaufNPI 1154776144
- Lynn Marie Ziegler, PTANPI 1679085666
All 6 Physical Therapy Assistant providers in Minocqua · All 261 providers in Minocqua
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