NPI 1073374054

Lisa Boutwell, PTA

Practitioner Physical Therapy Assistant Pittsfield, ME

Practice location

Address: 167 Sebasticook St, Pittsfield, ME 04967-4107
Phone: (207) 416-5236
Mailing address: 138 Morrill St, Pittsfield, ME 04967-4708

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PA1570 (ME)

Other Physical Therapy Assistant providers in Maine →

Registry record

NPI: 1073374054
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jan 2024
Record last updated: 17 Jan 2024

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.