Individual
DAVID THOMAS KISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
16515 POTTSVILLE PIKE, HAMBURG, PA 19526-8182
(484) 660-3139
(484) 660-3373
Mailing address
430 INNOVATION DRIVE, BLAIRSVILLE, PA 15717-8096
(724) 343-4060
(724) 343-4069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012979L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026928760001
—
PA
01
—
1326008798
HEALTH AMERICA/HEALTH ASSURANCE
PA
01
—
339462
HIGHMARK BLUE SHIELD
PA
01
—
50107119
CAPITAL BLUE CROSS
PA
Enumeration date
03/28/2006
Last updated
01/13/2015
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