Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA KAREN DODGE
Active Sole ProprietorLISA KAREN DODGE is a Mechanotherapist healthcare provider located in CLEAR LAKE, Wisconsin. NPI 1245563196 is currently active in the NPPES registry. Verify at CMS.
Mechanotherapist · CLEAR LAKE, WI
Registration Details
- NPI Number
- 1245563196
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2009 (16.739782494846 yrs)
- Last Updated
- Sep 10, 2009
- Licenses
-
3790-046 (WI)3790-046 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
571 75TH STCLEAR LAKE, WI, 540053819Browse WI providers · Browse ZIP 54005
- Phone
- 7152689006
- Primary Specialty
-
Mechanotherapist
172M00000X
- Additional Specialty
- Point of Service
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.