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Search › Wisconsin › 2255A2300X

Tia Jackson, MS, LAT, ATC

NPI 1649725938 · on the registry since 2016

Practice

Address
323 S 18th Ave
Sturgeon Bay, WI 54235
Phone
(920) 746-0410
Organisation at this address
Baycare Clinic Llp
Ministry Health Care
Door County Memorial Hospital
Door County Memorial Hospital
Door County Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
90

Additional practice sites

  • N91w15750 Falls Pkwy, Menomonee Falls, WI

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-19

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