Individual
LISA TRAUGHBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
360 S MOUNTIN DR, MAYVILLE, WI 53050-1498
(920) 387-7560
Mailing address
620 W BROWN ST, WAUPUN, WI 53963-1702
(920) 324-6544
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2633-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40363300
—
WI
Enumeration date
05/31/2006
Last updated
08/16/2007
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