Individual
MS. VICTORIA (VICKI) DAWN STODDART WALTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
W175N11117 STONEWOOD DR STE 220, GERMANTOWN, WI 53022-6508
(262) 224-5679
Mailing address
W175N11117 STONEWOOD DR STE 220, GERMANTOWN, WI 53022-6508
(262) 224-5679
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
4906-146
WI
172M00000X
Mechanotherapist
WI4906-46
WI
Other
Enumeration date
08/25/2010
Last updated
02/27/2020
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