D'Antonio, Jason

D'Antonio, Jason is an individual health care provider with primary practice located at 333 Pine Ridge Blvd , Wausau WI 54401-4120. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. D'Antonio, Jason can be contacted via phone (715) 847-2826.

Contact Information

Primary practice address
333 Pine Ridge Blvd Wausau WI 54401-4120
Phone: (715) 847-2826
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5529-024 Wisconsin

Profile Details

NPI number 1336291194
LBN Legal business name D'Antonio, Jason
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336291194 NPPES
Wisconsin MEDICAID 40273400

Popular Providers