Lisa Lynn Widder, PTA, LMT - in Madison, WI

Lisa Lynn Widder, PTA, LMT is a Physical Therapy Assistant based in Madison, Wisconsin. Lisa Lynn Widder is licensed to practice in Wisconsin (license number 2260) and her current practice location is 5249 E Terrace Dr, Madison, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (608) 222-9777.

NPI number for Lisa Lynn Widder is 1912614686 and her current mailing address is 301 E Main St Apt 312, Waunakee, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912614686.

Contact Information

Lisa Lynn Widder, PTA, LMT
5249 E Terrace Dr,
Madison, WI 53718-8339
(608) 222-9777
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLisa Lynn Widder
GenderFemale
SpecialityPhysical Therapy Assistant
Location5249 E Terrace Dr, Madison, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912614686
  • Provider Enumeration Date: 11/02/2022
  • Last Update Date: 11/02/2022

Medical Identifiers

Medical identifiers for Lisa Lynn Widder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912614686NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist 15749 (Wisconsin)Secondary
225200000XPhysical Therapy Assistant 2260 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Lynn Widder is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Lynn Widder, PTA, LMT
301 E Main St Apt 312,
Waunakee, WI 53597-1481

Ph: (815) 608-1577
Lisa Lynn Widder, PTA, LMT
5249 E Terrace Dr,
Madison, WI 53718-8339

Ph: (608) 222-9777

Reviews and Comments



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