Robin Lachance, PTA
Individual provider Active NPI Physical Therapy Assistant · Bloomer, WI
NPI 1093064545 · NPPES record last updated Aug 30, 2012
Key facts
- NPI
- 1093064545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1924-19 (WI)
- Practice address
- 1731 17TH Avenue
Bloomer, WI 54724 - Phone
- (715) 568-4669
- NPI assigned
- Aug 30, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1924-19 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1924-19 | WI | Yes |
Addresses
Primary practice location
1731 17TH Avenue
Bloomer, WI 54724
Mailing address
1731 17TH Avenue
Bloomer, WI 54724
Phone (715) 568-4669
Other providers in Bloomer, WI
- Courtney Dawn Kowalski
- Allison Krenz
- Jaclyn Kay Kron
- Mary J Kuehl
- Deborah Lynne Labudde
- Susan Langert
- Paul C Lanzer
- John Larson
- Carmella Leggon
- Sandra Sue Leuthe
All providers in Bloomer, WI · Physical Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.