Lisa M. Back

Physical Therapy Assistant · Crystal River, FL

Individual Active NPI

NPI number 1174781983

Practice location

394 N Suncoast Blvd
Suite 40
Crystal River, FL 34429-5466
Phone
(352) 795-6225
Fax
(352) 795-6065

Open in Google Maps

NPI record

NPI
1174781983
Entity type
Individual (Type 1)
Enumeration date
May 29, 2008
Last updated
May 29, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA18639 FL

About Lisa Back

Lisa M. Back is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 394 N Suncoast Blvd, Suite 40, Crystal River, FL 34429-5466. The NPI number 1174781983 was assigned on May 29, 2008 and the record was last updated on May 29, 2008.

Lisa Back lists a license in the registry: #PTA18639 (FL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lisa M. Back?

The NPI number is 1174781983.

What is the phone number of Lisa Back?

The phone number listed for the practice location is (352) 795-6225.

Where is Lisa Back located?

394 N Suncoast Blvd, Suite 40, Crystal River, FL 34429-5466.

What is the taxonomy code for Lisa Back?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physical Therapy Assistant providers in Crystal River

All Physical Therapy Assistant providers in Crystal River, FL →