Doctor Name: | MISS LISA N. UPTON |
NPI Number: | 1588630016 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ,PT,DPT |
License Number: | 6767 |
Business Practice Address: | Blanchfield Army Communityhospital 650 Joel Dr. Ft. Campbell, KY - 422235349 |
Business Phone Number: | 2707988102 |
Business Fax Number: | |
Mailing Address: | Blanchfield Army Communityhospital, 650 Joel Dr. FT. CAMPBELL |
State: | KY |
Postal Code: | 422235349 |
Phone Number: | 2707988102 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2006 |
NPI Last Update Date: | 11/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6767 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |