Individual
MRS. LISA TARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
15530 E BRONCOS PKWY UNIT 100, CENTENNIAL, CO 80112-7111
(720) 432-2860
(720) 789-2210
Mailing address
15530 E BRONCOS PKWY UNIT 100, CENTENNIAL, CO 80112-7111
(720) 432-2860
(720) 789-2210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7878
CO
2251P0200X
Pediatric Physical Therapist
7878
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75508516
—
CO
Enumeration date
03/14/2008
Last updated
10/31/2023
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