Doctor Name: | DUANE J LAHTI |
NPI Number: | 1316107220 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 11047-024 |
Business Practice Address: | 9675 E Elm Rd Poplar, WI - 548649102 |
Business Phone Number: | 7153648565 |
Business Fax Number: | 7153648574 |
Mailing Address: | 4000 N Providence Ave, APPLETON |
State: | WI |
Postal Code: | 549138018 |
Phone Number: | 9202572000 |
Fax Number: | 9202572004 |
NPI Enumeration Date: | 06/13/2008 |
NPI Last Update Date: | 08/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11047-024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |