IndividualActive
Angela Jiracek, PTA
NPI 1124687017 · Orthopedic Physical Therapist · Cedarburg, WI
Provider details
- NPI number
- 1124687017
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 823 (WI)
Mailing address
W76n677 Wauwatosa Rd
Cedarburg, WI 53012-1799
Registry dates
- Enumerated
- 2019-06-13
- Last updated
- 2019-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.