Individual
ISAAC VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7581 SECOR RD STE A, LAMBERTVILLE, MI 48144-9624
(419) 407-3190
Mailing address
7581 SECOR RD STE A, LAMBERTVILLE, MI 48144-9624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501304374
MI
225100000X
Physical Therapist
PT-009956
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000372744
ANTHEM PROVIDER NUMBER
OH
Enumeration date
02/20/2007
Last updated
03/05/2026
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