Individual
LISA BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
750 W WASHINGTON AVE, KINGMAN, KS 67068-2000
(888) 362-8704
Mailing address
1335 NW BROAD ST, MURFREESBORO, TN 37129-4428
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1402212
KS
225200000X
Physical Therapy Assistant
2005037953
MO
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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