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Individual
MS. LISA K KRANTZ
Active
Individual
MS. LISA K KRANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018147
IL
225100000X
Physical Therapist
10742024
WI
2255A2300X
Athletic Trainer
096.002994
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36128300
—
WI
Enumeration date
02/16/2007
Last updated
01/10/2013
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