Krackow, Lisa A.

Krackow, Lisa A. is an individual health care provider with primary practice located at 1421 3Rd St Sw , Roanoke VA 24016-5204. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Krackow, Lisa A. can be contacted via phone (540) 982-2208.

Contact Information

Primary practice address
1421 3Rd St Sw Roanoke VA 24016-5204
Phone: (540) 982-2208
Fax: (540) 982-7637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2306001639 Virginia

Profile Details

NPI number 1609047075
LBN Legal business name Krackow, Lisa A.
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2008
Last updated Mar 13th, 2008 - about 17 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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