Radke, Laurie Ann

Radke, Laurie Ann is an individual health care provider with primary practice located at 901 Mulberry St , Lake Mills WI 53551-1335. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Radke, Laurie Ann can be contacted via phone (920) 648-3144.

Contact Information

Primary practice address
901 Mulberry St Lake Mills WI 53551-1335
Phone: (920) 648-3144
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 76-019 Wisconsin

Profile Details

NPI number 1326269085
LBN Legal business name Radke, Laurie Ann
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326269085 NPPES
Wisconsin MEDICAID 40246300

Popular Providers