Individual
MR. RUSSELL RICHARD LANKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2000 N DEWEY AVE, REEDSBURG, WI 53959-1049
(608) 524-6487
(608) 524-6196
Mailing address
195 WALNUT ST, LOGANVILLE, WI 53943-9645
(608) 727-2016
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
94-019
WI
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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