NPI 1033310479

Lisa M. Kim, PTA

Practitioner Physical Therapy Assistant Goshen, IN

Practice location

Address: 1615 Winsted Dr Suite 3, Goshen, IN 46526-4696
Phone: (574) 534-4648
Fax: (574) 537-9048
Mailing address: 65545 Barrens Dr, Goshen, IN 46526-6430

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 06002626A (IN)

Other Physical Therapy Assistant providers in Indiana →

Registry record

NPI: 1033310479
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 May 2007
Record last updated: 5 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.