Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ALICIA MARIE BRUDER, LMT
Active Sole ProprietorMRS. ALICIA MARIE BRUDER, LMT is a Contractor healthcare provider located in PRAIRIE FARM, Wisconsin. NPI 1487066338 is currently active in the NPPES registry. Verify at CMS.
Contractor · PRAIRIE FARM, WI
Registration Details
- NPI Number
- 1487066338
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 27, 2014 (12.027246523918 yrs)
- Last Updated
- May 27, 2014
- License
-
12453-146 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
219 RIVER AVE SPRAIRIE FARM, WI, 547629786Browse WI providers · Browse ZIP 54762
- Phone
- 7154551166
- Primary Specialty
-
Contractor
171W00000X
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.