Individual
MS. LISA H CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1285 EAST FAIRFAX ROAD, SALT LAKE CITY, UT 84103
(801) 536-3807
Mailing address
1285 EAST FAIRFAX ROAD, SALT LAKE CITY, UT 84103
(801) 536-3807
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
121836-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12183624000001
BLUE CROSS BLUE SHIELD ID
UT
Enumeration date
08/29/2006
Last updated
02/06/2017
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