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General NPI Number Information
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NPI Number | 1619823192
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Entity Type | Organization
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Legal Business Name | ISTHMUS WELLNESS LLC
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Dates
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Enumeration Date | 03/07/2026
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Last Update Date | 03/07/2026
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Provider Practice Location Address
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Address Line | 970 N GAMMON RD
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City | MADISON
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State | WI
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Zip | 53717-1181
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Country | US
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Telephone | 608-441-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 970 N GAMMON RD
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City | MADISON
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State | WI
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Zip | 53717-1181
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Country | US
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Telephone | 608-441-9355
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | TRACY HAMMERSTROM
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Credential | LAC
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Telephone | 262-745-0712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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