SearchWisconsin225700000X

Jacquelyn Lietke, LMT

NPI 1225676083 · on the registry since 2019 · sole proprietor

Practice

Address
3120 South Ave Ste 105
La Crosse, WI 54601
Phone
(608) 317-5788

Registry record

Primary taxonomy
225700000X
225700000X
Also registered as
225700000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin