# LISA HAAS PHYSICAL THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578973418
- **Authorized official:** DR. LISA KARIN HAAS DPT (OWNER)
- **Authorized official phone:** (310) 453-1969

## Contact information

- **Practice address:** 1708 19TH ST, C/O BODYFIRST, SANTA MONICA, CA 90404-4418
- **Practice address phone:** (310) 453-1969
- **Mailing address:** 425 IDAHO AVE, \#6, SANTA MONICA, CA 90403-2667
- **Mailing address phone:** (310) 463-9802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | PT22415 | CA | Yes |

## Other

- **Enumeration date:** 04/30/2014
- **Last updated:** 04/30/2014