| Doctor Name: | DR. LISA MECHELLE JEFFERY |
| NPI Number: | 1174703086 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 1137131 |
| Business Practice Address: | 1230 Coaches Xing Pflugerville, TX - 786603858 |
| Business Phone Number: | 5127963954 |
| Business Fax Number: | |
| Mailing Address: | Po Box 143744, AUSTIN |
| State: | TX |
| Postal Code: | 787143744 |
| Phone Number: | 5123230802 |
| Fax Number: | 5123230803 |
| NPI Enumeration Date: | 11/08/2007 |
| NPI Last Update Date: | 04/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 1137131 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |