Individual
MRS. LINDSAY A. KOEPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
720 S 6TH AVE, WAUSAU, WI 54401-5308
(715) 261-2650
Mailing address
720 S 6TH AVE, WAUSAU, WI 54401-5308
(715) 261-2650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1228
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40106900
—
WI
01
—
99171
MARSHFIELD CLINIC PROV.
WI
Enumeration date
04/16/2008
Last updated
04/16/2008
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