Doctor Name: | LISA MARY HUBER |
NPI Number: | 1144518895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 0236 |
Business Practice Address: | 2525 Fox Run Pkwy Ste 100 Yankton, SD - 570785370 |
Business Phone Number: | 6052600918 |
Business Fax Number: | 6052600912 |
Mailing Address: | 2525 Fox Run Pkwy Ste 100, YANKTON |
State: | SD |
Postal Code: | 570785370 |
Phone Number: | 6056609862 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2011 |
NPI Last Update Date: | 09/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251N0400X |
License Number: | 0236 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Neurology |
Taxonomy Definition: |