Jacqueline Southard (NPI# 1962795021, PAC ID# 3072782739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1962795021 |
| PAC ID by PECOS | 3072782739 |
| Professional Enrollment ID | I20110815000259 |
| Full Name | Jacqueline Southard |
| Organization Legal Name | ATHLETIC AND THERAPEUTIC INSTITUTE OF MILWAUKEE, LLC |
| Address |
405 Genesee St Delafield WI 53018-1814 |
| Phone Number | 2626464920 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2062469190 |
| Number of Group Practice Members | 76 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 405 Genesee St, Delafield, WI 53018-1814 | 2626464920 | ATHLETIC AND THERAPEUTIC INSTITUTE OF MILWAUKEE, LLC |
| 1290 N Summit Ave, Suite 102, Oconomowoc, WI 53066-4459 | 2624683480 | ATHLETIC AND THERAPEUTIC INSTITUTE OF MILWAUKEE, LLC |
| 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2625741100 | ATHLETIC AND THERAPEUTIC INSTITUTE OF MILWAUKEE, LLC |
| Organization Legal Name | ATHLETIC AND THERAPEUTIC INSTITUTE OF MILWAUKEE, LLC |
| Physicians | 98 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Drew | Physical Therapy | Athletic and Therapeutic Institute of Milwaukee, LLC | 2912 S Business Dr, Sheboygan, WI 53081-6520 |
| Christina Helgesen | Physical Therapy | Athletic and Therapeutic Institute of Milwaukee, LLC | 5502 Washington Ave, Suite 500, Mount Pleasant, WI 53406-4094 |
| Tiffany Legate | Physical Therapy | Athletic and Therapeutic Institute of Milwaukee, LLC | 1769 S Main St, West Bend, WI 53095-4937 |
| Alexis N Lucia | Physical Therapy | Athletic and Therapeutic Institute of Milwaukee, LLC | 4861 S 27th St, Greenfield, WI 53221-2603 |
| Rachel M Zimmerman | Physical Therapy | Athletic and Therapeutic Institute of Milwaukee, LLC | 3212 E Calumet St, Appleton, WI 54915-4168 |
| Michael J Grzetic | Physical Therapy | Athletic and Therapeutic Institute of Milwaukee, LLC | 11450 W Burleigh St, Suite 120, Wauwatosa, WI 53222-3218 |
| Amanda Bartz | Physical Therapy | Athletic and Therapeutic Institute of Milwaukee, LLC | 625 E Saint Paul Ave, Milwaukee, WI 53202-5907 |
| Kayla R Christiaansen | Physical Therapy | Athletic and Therapeutic Institute of Milwaukee, LLC | 1290 N Summit Ave, Suite 102, Oconomowoc, WI 53066-4459 |
| Lindsey R Wolf | Physical Therapy | Athletic and Therapeutic Institute of Milwaukee, LLC | 10906 N Port Washington Rd, Spc 62, Mequon, WI 53092-5031 |
| Molly A Morrow | Occupational Therapy | Athletic and Therapeutic Institute of Milwaukee, LLC | 3111 W Rawson Ave, Suite 215, Franklin, WI 53132-9417 |
| Street Address |
405 GENESEE ST |
| City | DELAFIELD |
| State | WI |
| Zip | 53018-1814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kerri A Zabel | Physical Therapy | Athletic and Therapeutic Institute of Milwaukee, LLC | 405 Genesee St, Delafield, WI 53018-1814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel T Murray | Chiropractic | Lake Country Health Center Sc | 1452 Genesee St, Delafield, WI 53018-1432 |
| Morgan Rose Reimer | Chiropractic | Lake Country Health Center Sc | 1452 Genesee St, Delafield, WI 53018-1432 |
| Brandon L Meye | Chiropractic | Lake Country Health Center Sc | 1452 Genesee St, Delafield, WI 53018-1432 |
| Peter J Hansen | Psychologist, Clinical | 817 Genesee St, Delafield, WI 53018-1446 | |
| Elise Comello | Clinical Social Worker | Affiliated Wellness Group LLC | 524 Milwaukee St, Suite 308, Delafield, WI 53018-1461 |
| Peggy Nies Scargall | Clinical Social Worker | Affiliated Wellness Group LLC | 524 Milwaukee St, Suite 308, Delafield, WI 53018-1461 |
| Kristen A Lauder | Clinical Social Worker | Affiliated Wellness Group LLC | 524 Milwaukee St, Suite 308, Delafield, WI 53018-1461 |
| Shannon Michelle Stadler | Chiropractic | 711 Main St, Delafield, WI 53018-1507 | |
| Jenifer Marie Baum | Chiropractic | Delafield Chiropractic LLC | 403 Genesee St, Delafield, WI 53018-1814 |
| Michelle A Riegleman | Chiropractic | Delafield Chiropractic LLC | 403 Genesee St, Delafield, WI 53018-1814 |
| Find all physicians in zip 53018 | |||
| City | DELAFIELD |
| Zip Code | 53018 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | DELAFIELD + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jacqueline Southard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.