Individual
LISA KOMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(414) 647-6326
Mailing address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(414) 647-6326
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4163
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40280100
—
WI
Enumeration date
06/01/2007
Last updated
07/13/2023
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