Individual
MRS. LISA A CALASANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
421 SQUIRE POPE RD, HILTON HEAD ISLAND, SC 29926-1229
(843) 342-4086
(502) 212-8450
Mailing address
PO BOX 504469, SAINT LOUIS, MO 63150-4469
(800) 969-9265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01811
RI
225100000X
Physical Therapist
Primary
PT10181
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31245-9
BLUE CROSS BLUE SHIELD
RI
01
—
31559
NHPRI
RI
01
—
411184
BLUE CHIP
RI
01
—
LP61461
RITE SHARE COPAY PROVIDER
RI
01
—
PT01811
STATE LICENSE
RI
01
—
PT10181
PT LICENSE
SC
Enumeration date
04/24/2006
Last updated
06/23/2026
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