Search › Wisconsin › 225100000X
Peter Jacques, P.T
NPI 1699717520 · on the registry since 2006 · sole proprietor
Practice
- Address
- W4652 Glenn St
Appleton, WI 54913 - Phone
- (920) 540-8840
- Organisation at this address
- Peter John Jacques
Inferred from a shared address, not stated in the registry.
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
- 2013-06-14
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