Individual provider · Type 1 NPI
Barbara Marie Van Lieshout, MOTR, ATP
Other Specialist/Technologist · Jefferson, WI
NPI number
1386775906
Active
Practice location
229 Meadow Ct
Jefferson, WI 53549-1184
Fax (920) 674-6345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | 124-027 (WI) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Another provider at this address
About NPI 1386775906
Barbara Marie Van Lieshout, MOTR, ATP's National Provider Identifier is 1386775906, issued on Mar 7, 2007. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Jefferson, WI. The record was last updated on Oct 5, 2009.