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NPI Code Detail

MEDICARE: JAYME R JERMIER PT

MEDICARE:   JAYME R JERMIER  PT
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
1225100000XPhysical Therapist2804024WI

General Provider Information

NPI Number : 1184617730
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYME R JERMIER PT
Provider Business Mailing Address
First Line : PO BOX 6127
Second Line :
City : MADISON
State : WI
Zip : 53716-0157
Country : US
Telephone Number : 608-222-2325
Fax Number : 608-222-3823
Provider Business Practice Location Address
First Line : 4100 MONONA DR
Second Line : MONONA REHABILITATION SERVICES INC
City : MADISON
State : WI
Zip : 53716-1674
Country : US
Telephone Number : 608-222-2325
Fax Number : 608-222-3823
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 07/08/2007

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Directions to “ JAYME R JERMIER PT” Practice Location

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