Provider Demographics
NPI:1841497872
Name:ZUESKI, JILL HALE (PT, DPT, CFC)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:HALE
Last Name:ZUESKI
Suffix:
Gender:F
Credentials:PT, DPT, CFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52900 GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48042-3573
Mailing Address - Country:US
Mailing Address - Phone:586-991-1399
Mailing Address - Fax:586-218-3111
Practice Address - Street 1:52900 GARFIELD RD
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48042-3573
Practice Address - Country:US
Practice Address - Phone:586-991-1399
Practice Address - Fax:586-218-3111
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI55010095412251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1841497872Medicaid