NPI 1063455608

Lisa Marie Roper, BSATCLAT

Practitioner Respiratory/Developmental/Rehabilitative Specialist/Technologist Meridian, ID

Practice location

Address: 1900 W Pine Ave, Meridian, ID 83642-1961
Phone: (208) 350-4160
Fax: (208) 350-4178
Mailing address: 4075 N Tallgrass Ave, Meridian, ID 83646-2613

Registered specialties (2)

Respiratory/Developmental/Rehabilitative Specialist/Technologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225500000X Licence AT-374 (ID)

Other Specialist/Technologist providers in Idaho →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-AT-148663 (OR)

Registry record

NPI: 1063455608
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jun 2006
Record last updated: 3 Dec 2016

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.