Lisa Marie Kennedy-Leary in Bend - Physical Therapist

Lisa Marie Kennedy-Leary - NPI 1457572554

Lisa Marie Kennedy-Leary is a Physical Therapist in Bend, Oregon. Lisa Marie Kennedy-Leary practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Lisa Marie Kennedy-Leary is 1457572554. The last update date is 2013-03-08.

Lisa Marie Kennedy-Leary's current location address is 1118 Se Teakwood Dr, Bend, Oregon. You can contact this provider via phone number 5413825515. The mailing address for Lisa Marie Kennedy-Leary is 1118 Se Teakwood Dr, Bend, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Marie Kennedy-Leary
Address 1118 Se Teakwood Dr, Bend, Oregon
Phone Number 5413825515
Fax Number
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1457572554
Provider Enumeration Date 2007-05-02
Last Updated Date 2013-03-08

Provider Mailing Address Detail

Address 1118 Se Teakwood Dr
City Bend
State Oregon (OR)
Post Code 977022303
Phone Number 5413825515
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 2477
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
840574002 OR BLUE CROSS PIN
J6507-02 OR PACIFIC SOURCE PIN

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FAQs about Lisa Marie Kennedy-Leary

What is the unique 10-digit identifier code assigned to Lisa Marie Kennedy-Leary by the Centers for Medicare & Medicaid Services?

The Lisa Marie Kennedy-Leary has been issued the NPI (National Provider Identifier) 1457572554 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Lisa Marie Kennedy-Leary is physically located?

The Lisa Marie Kennedy-Leary is physically situated at the following address: 1118 Se Teakwood Dr, Bend, OR, 977022303.

What is the Lisa Marie Kennedy-Leary's area of specialization and corresponding taxonomy classification?

The Lisa Marie Kennedy-Leary's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.

When did Lisa Marie Kennedy-Leary receive its 1457572554 assignment?

The Lisa Marie Kennedy-Leary was assigned its 1457572554 on 2007-05-02, which is the date when this unique identifier was issued to the organization.

When was the Lisa Marie Kennedy-Leary's information last updated?

The Lisa Marie Kennedy-Leary's information was last updated on 2013-03-08.

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