Search › California › 106H00000X
Jaycie Wildermuth
NPI 1215665427 · on the registry since 2022
Practice
- Address
- 4250 Fowler Ln Ste 204
Diamond Springs, CA 95619 - Phone
- (530) 295-1491
- Organisation at this address
- Gray Physical Therapy
Sierra Child And Family ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 72
Additional practice sites
- 8950 Cal Center Dr Ste 120, Sacramento, CA
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 101Y00000X
101YP2500X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-01
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 California