Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Lynn Widder, PTA, LMT

Individual provider Massage Therapist · NPI 1912614686

Lisa Lynn Widder, PTA, LMT is a Massage Therapist in Madison, Wisconsin. Practices as a sole proprietor and works from 4 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

5249 E Terrace Dr
Madison, WI 53718-8339
Phone: (608) 222-9777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4602 Eastpark Blvd, Madison, WI 53718-2002 — (608) 440-6400
  • 6808 University Ave Ste 100, Middleton, WI 53562-2779 — (785) 375-4366
  • 301 E Main St Apt 312, Waunakee, WI 53597-1481 — (815) 608-1577

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2260 (WI)
Massage Therapist Taxonomy 225700000X · Licence 15749 (WI)

Record details

NPI number1912614686
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA , LMT
Sole proprietorYes
NPI enumeratedNovember 2, 2022
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022

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