Lisa Munroe, DPT

Individual provider Active NPI Physical Therapist · Boylston, MA

NPI 1154941235 · NPPES record last updated Jun 10, 2020

Key facts

NPI
1154941235
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
18442 (MA)
Practice address
22 Smallwood Cir
Boylston, MA 01505-2100
Phone
(774) 722-2168
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18442 MA Yes

Addresses

Primary practice location

22 Smallwood Cir
Boylston, MA 01505-2100

Mailing address

22 Smallwood Cir
Boylston, MA 01505-2100
Phone (774) 722-2168

Other providers in Boylston, MA

All providers in Boylston, MA · Physical Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.