IndividualActive
Jason Gatlin, M.P.T.
NPI 1245256015 · Orthopedic Physical Therapist · Lake Mills, WI
Provider details
- NPI number
- 1245256015
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- M.P.T.
- Sex
- Male
- Sole proprietor
- No
- License
- 10409-024 (WI)
Practice location
200 East Tyrannena Road
Therapy and Sport Center
Lake Mills, WI 53551
Phone: (920) 648-8170
Mailing address
230 Tamarack Dr Apt 6
Lake Mills, WI 53551-1983
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.