Lisa Kern, PTA

Individual provider Active NPI Physical Therapy Assistant · New Harmony, IN

NPI 1801239116 · NPPES record last updated Apr 17, 2013

Key facts

NPI
1801239116
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
06003294A (IN)
Practice address
251 Highway 66
New Harmony, IN 47631-9075
Phone
(812) 682-4104
NPI assigned
Apr 17, 2013
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

LicenseStateTypeSpecialty
06003294AINMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06003294A IN Yes

Addresses

Primary practice location

251 Highway 66
New Harmony, IN 47631-9075

Mailing address

9168 S 450 W
Owensville, IN 47665-9125
Phone (812) 202-1259

Other providers in New Harmony, IN

All providers in New Harmony, IN · Physical Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.