Theresa Rae Lisenby in Scurry - Recreation Therapist
Theresa Rae Lisenby - NPI 1073790358
Theresa Rae Lisenby is a Recreation Therapist in Scurry, Texas. Theresa Rae Lisenby practices all healthcare services and medical treatments related to Recreation Therapist. The NPI Number for Theresa Rae Lisenby is 1073790358. The last update date is 2008-01-29.
Theresa Rae Lisenby's current location address is 7471 Fm 3094, Scurry, Texas. You can contact this provider via phone number 9724523337 and fax number 9724523331. The mailing address for Theresa Rae Lisenby is 7471 Fm 3094, Scurry, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Rae Lisenby |
|---|---|
| Address | 7471 Fm 3094, Scurry, Texas |
| Phone Number | 9724523337 |
| Fax Number | 9724523331 |
| Sole Proprietor | N |
| Credentials | RN,CEO, IN |
NPI Number Detail
| NPI Number | 1073790358 |
|---|---|
| Provider Enumeration Date | 2008-01-29 |
| Last Updated Date | 2008-01-29 |
Provider Mailing Address Detail
| Address | 7471 Fm 3094 |
|---|---|
| City | Scurry |
| State | Texas (TX) |
| Post Code | 751584915 |
| Phone Number | 9724523337 |
| Fax Number | 9724523331 |
Provider's Primary Taxonomy Detail
| Speciality | Recreation Therapist |
|---|---|
| Taxonomy | 225800000X |
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Definition: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
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What is the unique identification code assigned to Theresa Rae Lisenby by the Centers for Medicare & Medicaid Services?
The Theresa Rae Lisenby has been issued the NPI (National Provider Identifier) 1073790358. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Theresa Rae Lisenby's facilities are situated?
The facilities of Theresa Rae Lisenby are physically located at the following address: 7471 Fm 3094, Scurry, TX, 751584915.
What is Theresa Rae Lisenby's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Theresa Rae Lisenby is Recreation Therapist, and the taxonomy classification code that categorizes this area of expertise is 225800000X.
On what date did the Theresa Rae Lisenby receive the assignment of its 1073790358 from the Centers for Medicare & Medicaid Services?
The Theresa Rae Lisenby was issued its 1073790358 by the Centers for Medicare & Medicaid Services on 2008-01-29.
When was the information pertaining to Theresa Rae Lisenby most recently updated or revised?
The details related to Theresa Rae Lisenby, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-29.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA