Individual provider · Type 1 NPI

Lisa Lynn Widder, PTA, LMT

Physical Therapy Assistant · Madison, WI

NPI number 1912614686 Active

Practice location

5249 E Terrace Dr
Madison, WI 53718-8339

Call (608) 222-9777 Map

Mailing address

301 E Main St Apt 312
Waunakee, WI 53597-1481

Other practice locations

  • 301 E Main St Apt 312, Waunakee, WI 53597-1481 · (815) 608-1577
  • 6808 University Ave Ste 100, Middleton, WI 53562-2779 · (785) 375-4366
  • 4602 Eastpark Blvd, Madison, WI 53718-2002 · (608) 440-6400

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X15749 (WI)
Physical Therapy Assistant Primary 225200000X2260 (WI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1912614686

Lisa Lynn Widder, PTA, LMT's National Provider Identifier is 1912614686, issued on Nov 2, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Madison, WI. The record was last updated on Nov 2, 2022.