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Search › Wisconsin › 225200000X

Jared Dubois, PTA

NPI 1386317592 · on the registry since 2021 · sole proprietor

Practice

Address
400 Deronda St
Amery, WI 54001
Phone
(715) 268-8171
Organisation at this address
Willow Ridge Healthcare Facilities, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-26

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