Search › Wisconsin › 225100000X
Jacob Birdsall, D-PT
NPI 1205350865 · on the registry since 2017
Practice
- Address
- 2809 N Park Drive Ln
Appleton, WI 54911 - Phone
- (920) 830-4999
- Fax
- (920) 380-4961
- Clinicians at this address
- 19
Additional practice sites
- 1630 Commanche Ave, Green Bay, WI
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin