Lisa Theis, OT is a
Occupational Therapist - Physical Rehabilitation based in Mt. Horeb, Wisconsin. Lisa Theis is licensed to practice in New Mexico (license number 2995) and her current practice location is
407 N 8th St, Mt. Horeb, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 437-5511.
NPI number for Lisa Theis is 1710154349 and her current mailing address is 160 Hospital Dr, Raton, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710154349.
Healthcare Provider's Profile
Full Name | Lisa Theis |
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Gender | Female |
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Speciality | Occupational Therapist - Physical Rehabilitation |
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Location | 407 N 8th St, Mt. Horeb, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710154349
- Provider Enumeration Date: 05/13/2008
- Last Update Date: 10/05/2015
Medical Identifiers
Medical identifiers for Lisa Theis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710154349 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0019X | Occupational Therapist - Physical Rehabilitation | 2995 (New Mexico) | 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 Theis 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 Address | Practice Location Address |
Lisa Theis, OT 160 Hospital Dr, Raton, NM 87740-2002 Ph: (575) 445-0111 | Lisa Theis, OT 407 N 8th St, Mt. Horeb, WI 53572 Ph: (608) 437-5511 |
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