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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

LISA K WILLIS, PT
556 AUBUCHON RD
TROY, MO63379-4338
 Phone: 636-338-4095
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LISA K WILLIS · (Female)

NPI # 1003007451
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 08/08/2007
Last updated 08/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2000154583
Hospital affiliation(s) Not Available
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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