Individual
MRS. LISA RENEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
9099A COLLINSVILLE RD, COLLINSVILLE, MS 39325-9779
(601) 626-8885
Mailing address
4655 TRICK TALBERT RD, BAILEY, MS 39320-9602
(601) 480-6936
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4061
MS
Other
Enumeration date
01/22/2007
Last updated
05/15/2026
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