# LESSILA PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LESSILA THERAPY, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811029838
- **Authorized official:** MR. PAUL DAVID LESSILA (PARTNER)
- **Authorized official phone:** (262) 781-8352

## Contact information

- **Practice address:** 17700 W CAPITOL DR STOP 6, BROOKFIELD, WI 53045
- **Practice address phone:** (262) 781-3083
- **Mailing address:** N87W16462 JACOBSON DR, MENOMONEE FALLS, WI 53051-2833
- **Mailing address phone:** (262) 255-1040
- **Mailing address fax:** (262) 255-4090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 4501-024 | WI | Yes |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 05/23/2018
