Lisa Ann Gust, P. T.
Individual provider Active NPI Physical Therapist · Lacombe, LA
NPI 1851571863 · NPPES record last updated Nov 7, 2007
Key facts
- NPI
- 1851571863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 00354R (LA)
- Practice address
- 29301 N Dixie Ranch Rd
Lacombe, LA 70445-5403 - Phone
- (985) 871-4114
- Fax
- (985) 871-4130
- NPI assigned
- Nov 7, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 00354R | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The North Institute, Apmc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00354R | LA | Yes |
Addresses
Primary practice location
29301 N Dixie Ranch Rd
Lacombe, LA 70445-5403
Mailing address
PO Box 2290
Lacombe, LA 70445-2290
Phone (985) 871-4114
Other providers in Lacombe, LA
- David J Giardina
- Tressa Glasper
- Patrick Joseph Glynn
- Zachary-Ross David Goodwin
- Goux Enterprises, LLC
- Heart & Vascular Institute of la LLC
- Heart and Vascular Clinic, Apmc
- Louis Desire Hebert
- Shannon Killey Hogg
- Nikole P Holliday
All providers in Lacombe, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2007. 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.