Provider Demographics
NPI:1649069931
Name:OKSIUTA, LINDSAY (PT)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:OKSIUTA
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 BLACK EARTH RD
Mailing Address - Street 2:
Mailing Address - City:WALES
Mailing Address - State:WI
Mailing Address - Zip Code:53183-9759
Mailing Address - Country:US
Mailing Address - Phone:608-712-7707
Mailing Address - Fax:
Practice Address - Street 1:123 LAWN ST
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:WI
Practice Address - Zip Code:53029-1713
Practice Address - Country:US
Practice Address - Phone:262-337-3070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10540-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist