Healthcare Provider Details

I. General information

NPI: 1619823192
Provider Name (Legal Business Name): ISTHMUS WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2026
Last Update Date: 03/07/2026
Certification Date: 03/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 N GAMMON RD
MADISON WI
53717-1181
US

IV. Provider business mailing address

970 N GAMMON RD
MADISON WI
53717-1181
US

V. Phone/Fax

Practice location:
  • Phone: 608-441-9355
  • Fax:
Mailing address:
  • Phone: 608-441-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: TRACY HAMMERSTROM
Title or Position: CO-OWNER
Credential: LAC
Phone: 262-745-0712