Individual
MRS. LISA KAYE BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
1150 STATE ST, PHILLIPSBURG, KS 67661-1743
(785) 554-2809
(785) 543-6302
Mailing address
1150 STATE ST, PHILLIPSBURG, KS 67661-1743
(785) 554-2809
(785) 543-6302
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02072
KS
Other
Enumeration date
05/17/2010
Last updated
09/18/2012
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