NPI 1154761591

Lisa J Capshaw, PTA

Practitioner Physical Therapy Assistant Marietta, GA

Practice location

Address: 1551 Johnson Ferry Rd, Marietta, GA 30062-6438
Phone: (770) 361-1772
Mailing address: 190 Birch Rill Dr, Alpharetta, GA 30022-5025

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA000129 (GA)

Other Physical Therapy Assistant providers in Georgia →

Registry record

NPI: 1154761591
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2013
Record last updated: 30 Jun 2013

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.