Knutson, Lisa P

Knutson, Lisa P is an individual health care provider with primary practice located at 6012 W William Cannon Dr Bldg C , Austin TX 78749-1980. 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. Knutson, Lisa P can be contacted via phone (512) 899-8508.

Contact Information

Primary practice address
6012 W William Cannon Dr Bldg C Austin TX 78749-1980
Phone: (512) 899-8508
Fax: (512) 899-9387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1135028 Texas

Profile Details

NPI number 1144293390
LBN Legal business name Knutson, Lisa P
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Apr 25th, 2017 - about 7 years ago

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 1144293390 NPPES
Virginia MEDICAID 010127556
Virginia Other 173447
Virginia Other 2130616

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