Lydia Gruben, PT, DPT, LMT

NPI #1164383345 in Bloomer, Wisconsin

Provider Information

NPI Number: 1164383345
Entity Type: Individual
Name: Lydia Gruben, PT, DPT, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT, LMT
Enumeration Date: Nov 18, 2025
Last Updated: Nov 18, 2025

Practice Location

Address: 1217 14TH AVE
City: Bloomer
State: Wisconsin
ZIP Code: 54724-1695
Phone: (715) 933-4784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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