Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYDIA GRUBEN, PT, DPT, LMT
Active Sole ProprietorLYDIA GRUBEN, PT, DPT, LMT is a Physical Therapy Assistant healthcare provider located in BLOOMER, Wisconsin. NPI 1164383345 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BLOOMER, WI
Registration Details
- NPI Number
- 1164383345
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 18, 2025 (0.55671276542041 yrs)
- Last Updated
- Nov 18, 2025
- License
-
17506-24 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1217 14TH AVEBLOOMER, WI, 547241695Browse WI providers · Browse ZIP 54724
- Phone
- 7159334784
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BLOOMER, WI
| Name | Credential | NPI |
|---|---|---|
| LINDA B PETERSEN | PT | 1396758546 |
| JILL M JONES | PT | 1033122270 |
| MICHAEL A WACKER | PT | 1164435574 |
| LAUREN NELSON-BOBB | MPT | 1598805210 |
| JESSICA ROSEEN | — | 1225244916 |
| ANDREW OLSON | — | 1568679199 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.