SearchWisconsin225200000X

Jeran Wilson, PTA

NPI 1922271949 · on the registry since 2008 · sole proprietor

Practice

Address
6630 Ogden Ave
Superior, WI 54880
Phone
(218) 391-8788

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-05

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