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Individual

MRS. LISA LEANNE GENTZLER

Active
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Individual

MRS. LISA LEANNE GENTZLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 1072
WY
225100000X
Physical Therapist
Primary
PT016970
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
313800
BLUE CROSS/BLUE SHIELD
WY
Enumeration date
10/23/2006
Last updated
09/11/2025
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