| Doctor Name: | MS. LISA DAVIS |
| NPI Number: | 1700810355 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT1587 |
| Business Practice Address: | 1500 Wilson Loop Ward, AR - 72176 |
| Business Phone Number: | 5019415630 |
| Business Fax Number: | |
| Mailing Address: | 6 Fairview Ct, JACKSONVILLE |
| State: | AR |
| Postal Code: | 720762603 |
| Phone Number: | 5019415630 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PT1587 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |