| Doctor Name: | BRITTANY JAEGER |
| NPI Number: | 1336496108 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 12059-024 |
| Business Practice Address: | 3101 S Packerland Dr Green Bay, WI - 54956 |
| Business Phone Number: | 9205923845 |
| Business Fax Number: | 9205923061 |
| Mailing Address: | Po Box 866308, PLANO |
| State: | TX |
| Postal Code: | 750866308 |
| Phone Number: | 9725962500 |
| Fax Number: | 2673212044 |
| NPI Enumeration Date: | 08/10/2012 |
| NPI Last Update Date: | 08/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 12059-024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |