Widder, Lisa Lynn

Widder, Lisa Lynn is an sole proprietor health care provider with primary practice located at 5249 E Terrace Dr , Madison WI 53718-8339. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant is her primary health care specialty. Widder, Lisa Lynn can be contacted via phone (608) 222-9777.

Contact Information

Primary practice address
5249 E Terrace Dr Madison WI 53718-8339
Phone: (608) 222-9777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 15749 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2260 Wisconsin

Profile Details

NPI number 1912614686
LBN Legal business name Widder, Lisa Lynn
Credentials PTA, LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2022
Last updated Nov 2nd, 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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