Individual
ALISA KNUDTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2905 WINSOR DR APT 6, EAU CLAIRE, WI 54703-1991
(715) 456-2179
Mailing address
2905 WINSOR DR APT 6, EAU CLAIRE, WI 54703-1991
(715) 456-2179
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3252-19
WI
Other
Enumeration date
02/19/2022
Last updated
08/02/2023
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