Patscot, Jody Rae

Patscot, Jody Rae is an individual health care provider with primary practice located at 2512 New Pine Dr , Altoona WI 54720-1378. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Patscot, Jody Rae can be contacted via phone (715) 833-0400.

Contact Information

Primary practice address
2512 New Pine Dr Altoona WI 54720-1378
Phone: (715) 833-0400
Fax: (715) 833-0397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 760-019 Wisconsin

Profile Details

NPI number 1659583334
LBN Legal business name Patscot, Jody Rae
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659583334 NPPES
Wisconsin MEDICAID 40395500

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