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Ellen Wanta, LAT
NPI 1982751376 · on the registry since 2007
Practice
- Address
- N63 W23075 Hwy 74
Sussex, WI 53089 - Phone
- (414) 566-4582
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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