Jared M Wise, PT | |
1401 E 12th St, Mendota, IL 61342-9216 | |
(815) 539-1409 | |
Not Available |
Full Name | Jared M Wise |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1401 E 12th St, Mendota, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174888275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070017309 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jared M Wise, PT 1401 E 12th St, Mendota, IL 61342-9216 Ph: (815) 539-1409 | Jared M Wise, PT 1401 E 12th St, Mendota, IL 61342-9216 Ph: (815) 539-1409 |
Franklin J Duro, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 E 12th St, Mendota, IL 61342 Phone: 815-539-1409 | |
Reid Baltikauski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 E 12th St, Mendota, IL 61342 Phone: 815-539-1409 |