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JACQUELYN LIETKE LMT
NPI 1225676083
Massage Therapist in La Crosse, WI

Active since December 11, 2019
3120 SOUTH AVE STE 105, LA CROSSE, WI 54601(608) 317-5788 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacquelyn Lietke Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN LIETKE LMT (NPI 1225676083) is an individual massage therapist in La Crosse, Wisconsin, licensed in Wisconsin (10111-146) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1225676083
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJACQUELYN LIETKECredential: LMT
Location Address3120 SOUTH AVE STE 105La Crosse, WI 54601-6720
Mailing Address3120 South Ave Ste 105La Crosse, WI 54601-6720 · (608) 317-5788
Phone(608) 317-5788
Sole ProprietorYes
Enumeration DateDecember 11, 2019
✔ NPI 1225676083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WI · 10111-146
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
3120 SOUTH AVE STE 105, La Crosse, WI 54601
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Lietke's NPI number?

The NPI number for Jacquelyn Lietke is 1225676083. It was assigned to this individual provider in the NPPES registry on December 11, 2019.

Where is Jacquelyn Lietke located?

Jacquelyn Lietke practices at 3120 South Ave Ste 105, La Crosse, WI 54601. The listed phone number is (608) 317-5788.

What is Jacquelyn Lietke's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Lietke was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.