Individual
LOUIS RICHARD ALIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1405 TRUAX BLVD, EAU CLAIRE, WI 54703-1474
(715) 552-1030
Mailing address
S10876 CTY RD R, AUGUSTA, WI 54722
(715) 577-8257
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
45-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40394400
—
WI
Enumeration date
12/12/2006
Last updated
07/08/2007
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