Doctor Name: | LISA MARIE SELLERS |
NPI Number: | 1114301629 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 02285 |
Business Practice Address: | 726 Veterans Dr Carencro, LA - 705203619 |
Business Phone Number: | 3375654355 |
Business Fax Number: | 3375654357 |
Mailing Address: | 101 Mosswood Cir, LAFAYETTE |
State: | LA |
Postal Code: | 705035238 |
Phone Number: | 3379819507 |
Fax Number: | 3375654357 |
NPI Enumeration Date: | 07/14/2015 |
NPI Last Update Date: | 07/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |