LISA KAREN DODGE (NPI# 1245563196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245563196 |
Entity Type | Individual |
Full Name | LISA KAREN DODGE |
Practice Address |
571 75th St Clear Lake WI 54005-3819 |
Practice Telephone | 7152689006 |
Enumeration Date | 2009-09-10 |
Last Update Date | 2009-09-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 305S00000X | Point of Service | 3790-046 | WI | Managed Care Organizations |
Y | 172M00000X | Mechanotherapist | 3790-046 | WI | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861978363 | Lisa Dodge | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2018-07-17 |
1447567458 | Lisa M Dodge | Student in an Organized Health Care Education/Training Program | 43825 Michigan Ave, Canton, MI 48188-2551 | 2010-09-13 |
Street Address |
571 75TH ST |
City | CLEAR LAKE |
State | WI |
Zip Code | 54005-3819 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043866460 | Northern Roots Family Spinal Care, LLC | Chiropractor | 470 3rd Ave, Clear Lake, WI 54005 | 2019-08-12 |
1689855355 | Deborah Sue Cuper | Physical Therapist | 417 3rd Ave., Clear Lake, WI 54005 | 2007-11-21 |
1952595480 | Kivlin Eye Clinic, Sc | Optometrist | 370 3rd Ave, Clear Lake, WI 54005 | 2007-08-28 |
1083722920 | Bradley Alvin Paulson | Chiropractor | 336 3rd Ave, Clear Lake, WI 54005 | 2006-08-29 |
1225042013 | Emily J Monson | Physical Therapist | 417 3rd Ave, Clear Lake, WI 54005 | 2006-07-28 |
1770134892 | Jolleen Mary Nichols | Nurse Practitioner | 357 Third Ave, Clear Lake, WI 54005 | 2019-09-20 |
1265721781 | Krista Anderson | Physical Therapy Assistant | 417 3rd Ave, Clear Lake, WI 54005 | 2011-04-05 |
1083845754 | Clear Lake Physical Therapy and Rehab Specialists LLC | Occupational Therapist | 417 3rd Ave, Clear Lake, WI 54005 | 2009-07-29 |
1063689487 | Erin Timm | Physical Therapist | 417 3rd Ave, Clear Lake, WI 54005 | 2008-05-14 |
1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
Find all providers in zip 54005 |
Taxonomy Code | 172M00000X |
Grouping | Other Service Providers |
Classification | Mechanotherapist |
A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821477399 | Amanda Joy Everson | Mechanotherapist | 1504 Refset Dr, Janesville, WI 53545-0462 | 2015-05-29 |
1528479128 | Sheryl Schreiber | Mechanotherapist | 410 E Washington St Ste B, Slinger, WI 53086-9650 | 2014-05-16 |
1124388921 | Jenny Lou Kuske | Mechanotherapist | 1477 Kenwood Dr, Menasha, WI 54952-1160 | 2012-05-25 |
1649586868 | Victoria (vicki) Dawn Stoddart Walther | Mechanotherapist | W175n11117 Stonewood Dr Ste 220, Germantown, WI 53022-6508 | 2010-08-25 |
1871821702 | Iras Humphreys | Mechanotherapist | 10705 N Linden Rd, Hayward, WI 54843-4047 | 2009-12-04 |
1548407885 | Timothy Trollen | Mechanotherapist | 602 3rd St, Suite 1, Hudson, WI 54016 | 2009-01-08 |
1740550045 | Rachel Rebecca Bredl-hryndej | Mechanotherapist | 216 E Upham St, Marshfield, WI 54449-1543 | 2012-01-04 |
City | CLEAR LAKE |
Zip Code | 54005 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.