National Provider Identifier Database

LISA R ROLES, PTA – NPI #1902966799
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

LISA R ROLES, PTA
3875 ROBERT C BYRD DR
BECKLEY, WV25801
Phone: 304-253-1960
Fax: 304-253-3080
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for LISA R ROLES

NPI Number 1902966799
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 12/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • WV License #: 001053
Hospital affiliation n/a

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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