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Contact Information

LISA A ELDER, PT
608 N MULBERRY RD
DERBY, KS67037-3532
 Phone: 316-202-0996
 Fax: 316-202-0997
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LISA A ELDER · (Female)

NPI # 1508025685
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 06/04/2008
Last updated 04/13/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CO License # MSPTL.0000018
  • GA License # PT008993
  • KS License # 11-06634
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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