Individual
LISA MICHELLE FERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
703 E MAIN ST, SUITE 1, LEBANON, KY 40033-8695
(270) 699-9503
Mailing address
224 S PROCTOR KNOTT AVE, LEBANON, KY 40033-1243
(512) 940-6280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1107985
TX
Other
Enumeration date
10/04/2006
Last updated
06/22/2015
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