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Contact Information

BAILEY L LANSER, DPT, AT
1160 KEPLER DR
GREEN BAY, WI54311-8321
 Phone: 920-288-5630
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BAILEY L LANSER · (Female)

NPI Number 1770123101
Status Active
Credentials DPT, AT
Entity Individual
Enumeration date 01/14/2020
Last updated 05/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 14610-24
  • WI License # 14610
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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