Individual
LISA M TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
111 W 36TH ST, SCOTTSBLUFF, NE 69361-4623
(308) 635-2019
Mailing address
70657 STONEGATE RD, MINATARE, NE 69356-4363
(308) 783-1556
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
152
NE
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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