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Search › Idaho › 101YP2500X

Lisa Grutzmacher, PAT

NPI 1326303942 · on the registry since 2012 · sole proprietor

Practice

Address
1300 Arrowhead Plaza Way
Driggs, ID 83422
Phone
(208) 351-1323
Organisation at this address
Jeff Roelke Inc.
Rooted Therapy Cooperative
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
Licence states on file
WY, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-07

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 Idaho