Individual
LISA M. PERRY
Active
Individual
LISA M. PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT, PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA.0012283
CO
225700000X
Massage Therapist
Primary
MT.0015599
CO
Other
Enumeration date
12/13/2010
Last updated
04/19/2016
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