Lisa M Machotka PT

NPI 1790853786 - Physical Therapist - 225100000X

NPI Details
NPI 1790853786
Gender Female
Enumeration Date 11/30/2006
Last Updated 06/07/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
661 WESTPORT CT
PORT EDWARDS WI, 54469-1176, US
Phone (715) 491-2660
Fax
Business Location
661 WESTPORT CT
PORT EDWARDS WI, 54469-1176, US
Phone (715) 491-2660
Fax
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 5855-24
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According to our database, Mrs. Lisa M Machotka PT NPI is 1790853786, taxonomy code is 225100000X and license number is 5855-24, license state is located at Wisconsin. Lisa M Machotka PT physically located at 661 Westport Ct, Port Edwards WI, 54469-1176. NPI Number Lisa M Machotka PT has the Individual type.

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1790853786 NPI number is provided on an as is basis without warranty of any kind. 1790853786 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa M Machotka PT are for informational purposes only.