Graves, Tami Lisa

Graves, Tami Lisa is an individual health care provider with primary practice located at 315 S Oneida Ave Ste 102 , Rhinelander WI 54501-3422. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Graves, Tami Lisa can be contacted via phone (800) 974-4378.

Contact Information

Primary practice address
315 S Oneida Ave Ste 102 Rhinelander WI 54501-3422
Phone: (800) 974-4378
Fax: (630) 515-1536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2749024 Wisconsin

Profile Details

NPI number 1366510349
LBN Legal business name Graves, Tami Lisa
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated May 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366510349 NPPES
Wisconsin MEDICAID 40101500

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