IndividualActive
Lisa Dodge
NPI 1245563196 · Mechanotherapist · Clear Lake, WI
Provider details
- NPI number
- 1245563196
- Entity type
- Individual
- Primary specialty
- MechanotherapistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3790-046 (WI)
Mailing address
571 75th St
Clear Lake, WI 54005-3819
Registry dates
- Enumerated
- 2009-09-10
- Last updated
- 2009-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.