Individual
EMILY ANNETTE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1704224
WI
225400000X
Rehabilitation Practitioner
Primary
2630-19
WI
Other
Enumeration date
07/27/2017
Last updated
08/14/2026
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