Provider Demographics
NPI:1356871685
Name:ESPE, JESSE T (DPT)
Entity type:Individual
Prefix:
First Name:JESSE
Middle Name:T
Last Name:ESPE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5232 CROCUS CT
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-5601
Mailing Address - Country:US
Mailing Address - Phone:715-301-0197
Mailing Address - Fax:715-227-4858
Practice Address - Street 1:101 FOREST ST
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54403-5514
Practice Address - Country:US
Practice Address - Phone:715-301-0197
Practice Address - Fax:715-227-4858
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15576-242251X0800X
IL070023314225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist