NPI 1225326895

Mark Jeffery Lisembee, PTA

Practitioner Physical Therapy Assistant Bowling Green, KY

Practice location

Address: 1561 Newton Ave, Bowling Green, KY 42104-3238
Phone: (270) 842-1611
Fax: (270) 842-3858

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A02788 (KY)

Other Physical Therapy Assistant providers in Kentucky →

Registry record

NPI: 1225326895
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2011
Record last updated: 22 May 2012

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.