Individual
LISA CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2629 N 7TH ST, SHEBOYGAN, WI 53083-4932
(920) 451-7876
Mailing address
120 REDTAIL DR, APT 12, SHEBOYGAN FALLS, WI 53085-3364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100075360
—
WI
Enumeration date
10/05/2016
Last updated
03/22/2024
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