Doctor Name: | MRS. LISA A. HANNES |
NPI Number: | 1033108212 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 6015-024 |
Business Practice Address: | 3033 W Layton Ave Suite 102 Greenfield, WI - 532212628 |
Business Phone Number: | 4146470033 |
Business Fax Number: | 4146470079 |
Mailing Address: | 3114 S 14th St, MILWAUKEE |
State: | WI |
Postal Code: | 532154626 |
Phone Number: | 4146438793 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2005 |
NPI Last Update Date: | 02/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6015-024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |