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NPI Code Detail

MEDICARE: LISA M ZANT PTA

MEDICARE: LISA M ZANT PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant283-019WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407937428
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA M ZANT PTA
Provider Business Mailing Address
First Line : 3386 S FAUST LAKE RD
Second Line :
City : RHINELANDER
State : WI
Zip : 54501-8212
Country : US
Telephone Number : 715-499-0985
Fax Number :
Provider Business Practice Location Address
First Line : 8201 MISH KO SWEN DR
Second Line :
City : CRANDON
State : WI
Zip : 54520-8631
Country : US
Telephone Number : 715-478-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 11/15/2024

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Directions to “ LISA M ZANT PTA” Practice Location

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