Search › Wisconsin › 101YP2500X
Janis Southworth, MA PC-TC
NPI 1235562737 · on the registry since 2013 · sole proprietor
Practice
- Address
- 136 W Broadway Ave
Medford, WI 54451 - Phone
- (715) 748-4535
- Fax
- (715) 748-0627
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-10-22
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