Individual
LISA MCKELL SHEPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3300N. RUNNING CREEK WAY, B150, LEHI, UT 84043-5563
(801) 766-4244
(801) 766-4245
Mailing address
3300N. RUNNING CREEK WAY, B150, LEHI, UT 84043-5563
(801) 766-4244
(801) 766-4245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10190968-2401
UT
2251X0800X
Orthopedic Physical Therapist
10190968-8016
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422390
—
UT
Enumeration date
12/19/2016
Last updated
02/27/2025
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