Individual
LISA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5220 SW 17TH ST STE 130, TOPEKA, KS 66604-2514
(785) 271-5533
Mailing address
909 WASHINGTON AVE, HOLTON, KS 66436-1344
(785) 364-6432
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-00954
KS
Other
Enumeration date
09/13/2006
Last updated
07/27/2023
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