Individual
GRACE MARIE LISCHKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
4045 LANCER CIR, MANITOWOC, WI 54220-2336
(920) 682-0215
Mailing address
2473 PORTSIDE LN APT 19, MANITOWOC, WI 54220-3421
(920) 901-5586
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
330839
WI
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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