Individual
MS. LISA M NOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1663 BELVIDERE RD, BELVIDERE, IL 61008-9306
(815) 544-0040
(815) 544-0048
Mailing address
PO BOX 2176, DEPT 5389, MILWAUKEE, WI 53201-2176
(815) 713-2600
(815) 654-8020
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004668
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160004668
IL LICENSE
IL
01
—
769380
MEDICARE GROUP PTAN
IL
Enumeration date
08/02/2010
Last updated
08/02/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us