LISA KAREN DODGE


Address: 571 75th St, Clear Lake, WI 54005-3819
Phone: 7152689006

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).

Provider Overview

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

Taxonomy

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

Other Providers LISA DODGE

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

Office Location

Street Address 571 75TH ST
City CLEAR LAKE
State WI
Zip Code 54005-3819

Providers in the same zip code

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 Information

Taxonomy Code 172M00000X
Grouping Other Service Providers
Classification Mechanotherapist

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

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City CLEAR LAKE
Zip Code 54005

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Dataset Information

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.

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