Individual provider · Type 1 NPI

Sally Nelson Lysne, OTR

Occupational Therapist · Sparta, WI

NPI number 1922083385 Active

Practice location

310 W Main St
Sparta, WI 54656-2170

Call (608) 269-2132 Map

Fax (608) 269-8110

Mailing address

700 West Ave S, Attn Physician Services
La Crosse, WI 54601-4783

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2826 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1922083385

Sally Nelson Lysne, OTR's National Provider Identifier is 1922083385, issued on Dec 8, 2005. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Sparta, WI. The record was last updated on Jul 13, 2026.