Lisa Ehret
Individual provider Active NPI Occupational Therapy Assistant · Morton, IL
NPI 1831824440 · NPPES record last updated Jul 18, 2022
Key facts
- NPI
- 1831824440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 721 Fillmore St
Morton, IL 61550 - Phone
- (309) 363-8779
- NPI assigned
- Jul 18, 2022
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes |
Addresses
Primary practice location
721 Fillmore St
Morton, IL 61550
Mailing address
721 Fillmore St
Morton, IL 61550
Phone (309) 363-8779
Other providers in Morton, IL
- Eric Dicks
- Holly Marie Doherty
- Britain Dunaway
- Michelle Leann Eckhoff
- Kurt L Ehling
- Nathan James Eiben
- William Ellis IX
- Elysian Hospice, Inc
- Amber Brittany Emmons
- Darlene G Esken
All providers in Morton, IL · Occupational Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2022. 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.