# CHERYL LISSY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710942578
- **Gender:** F
- **Credential:** PT,ATC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251S0007X | Sports Physical Therapist | 04-475972 | PA | — |
| 2251S0007X | Sports Physical Therapist | J1-0001355 | DE | Yes |

## Other

- **Enumeration date:** 04/17/2006
- **Last updated:** 09/10/2008