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Jason Carl Gatlin, MPT
Orthopedic Physical Therapist in Lake Mills, Wisconsin
NPI 1245256015

Jason Carl Gatlin is a Orthopedic Physical Therapist based in Lake Mills, WI and is specialized in Orthopedic. Jason Carl Gatlin practices in Lake Mills, WI and has the professional credentials of MPT. The NPI Number for Jason Carl Gatlin is 1245256015 and holds a License No. 10409-024 (Wisconsin).

The current practice location address for Jason Carl Gatlin is 200 East Tyrannena Road, Lake Mills, WI and can be reached out via phone at 920-648-8170.

Location: 200 East Tyrannena Road, Lake Mills, WI, 53551-1983
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245256015
Provider Name
Jason Carl Gatlin
Credential
MPT
Provider Entity Type
Individual
Gender
Male
Address
200 East Tyrannena Road, Lake Mills, WI, 53551-1983
Phone Number
920-648-8170
Fax Number
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40472500 05 WI
institution
Provider Business Practice Location Address Details
Address
200 East Tyrannena Road
City
Lake Mills
State
Wisconsin
Zip
53551
Phone Number
920-648-8170
Fax Number
person
Provider Business Mailing Address Details
Address
200 East Tyrannena Road
City
Lake Mills
State
Wisconsin
Zip
53551
Phone Number
920-648-8170
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
10409-024 (Wisconsin)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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