Gortz, Lisa Marie

Gortz, Lisa Marie is an individual health care provider with primary practice located at 741 President Pl Suite 130, Smyrna TN 37167-6807. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gortz, Lisa Marie can be contacted via phone (615) 220-0086.

Contact Information

Primary practice address
741 President Pl Suite 130 Smyrna TN 37167-6807
Phone: (615) 220-0086
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8195 Tennessee

Profile Details

NPI number 1912159179
LBN Legal business name Gortz, Lisa Marie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Jun 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912159179 NPPES
Tennessee Other 3727276 GROUP MEDICAID LEGACY NUMBER
Tennessee Other 3727276 GROUP MEDICAID LEGACY NUMBER

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