Lisa Joy Landa, P.T.A.
Individual provider Active NPI Physical Therapy Assistant · Rawlins, WY
NPI 1669633434 · NPPES record last updated Jun 24, 2008
Key facts
- NPI
- 1669633434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA-0129 (WY)
- Practice address
- 1115 13TH St
Rawlins, WY 82301-4610 - Phone
- (307) 324-5061
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| PTA-0129 | WY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA-0129 | WY | Yes |
Addresses
Primary practice location
1115 13TH St
Rawlins, WY 82301-4610
Mailing address
PO Box 1262
Rawlins, WY 82301-1262
Phone (307) 324-5061
Other providers in Rawlins, WY
- Warren K Keldsen
- David Scott Ketcham
- Kristopher Knudson
- Kory L. Kreusel DC PC
- Kory Landon Kreusel
- Ronnie A Lasco
- Michelle Bernadette Laurienti
- Alicia M Lee
- Kristel Lessard
- Lincare Inc.
All providers in Rawlins, WY · Physical Therapy Assistant in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2008. 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.