Individual
MS. LISA MICHELLE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
602 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
(573) 756-2999
(573) 756-6195
Mailing address
602 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
(573) 756-2999
(573) 756-6195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01794
MO
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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