Lisa Marie Monroe, P.T.
Individual provider Active NPI Physical Therapist · Salem, MO
NPI 1275769002 · NPPES record last updated Jun 8, 2009
Key facts
- NPI
- 1275769002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2007035590 (MO)
- Practice address
- 198 County Road 3070
Salem, MO 65560-8870 - Phone
- (573) 729-6620
- NPI assigned
- Jun 8, 2009
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007035590 | MO | MD | Physical Therapist |
| PT00006330 | WA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00006330 | WA | |
| Physical Therapist | 225100000X | 2007035590 | MO | Yes |
Addresses
Primary practice location
198 County Road 3070
Salem, MO 65560-8870
Mailing address
198 County Road 3070
Salem, MO 65560-8870
Phone (573) 729-6620
Other providers in Salem, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.