MEDICARE: JENNIFER CUTLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist		WI

General Provider Information

NPI Number	:	1023948577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER CUTLER

Provider Business Mailing Address
First Line	:	425 S WASHINGTON ST
Second Line	:
City	:	COMBINED LOCKS
State	:	WI
Zip	:	54113-1049
Country	:	US
Telephone Number	:	920-788-7915
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 S WASHINGTON ST
Second Line	:
City	:	COMBINED LOCKS
State	:	WI
Zip	:	54113-1049
Country	:	US
Telephone Number	:	920-788-7915
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “ JENNIFER CUTLER ” Practice Location

Language	Start Address	Practice Location

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