Individual
LISA J TRUTTSCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, NCS
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-7821
(920) 433-3651
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
5827-24
WI
2251N0400X
Neurology Physical Therapist
7475
TN
Other
Enumeration date
05/27/2015
Last updated
11/16/2015
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