Walters, Lisa Marie

Walters, Lisa Marie is an individual health care provider with primary practice located at 2195 Harrodsburg Rd Fl 2 , Lexington KY 40504-3516. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Walters, Lisa Marie can be contacted via phone (595) 621-9808.

Contact Information

Primary practice address
2195 Harrodsburg Rd Fl 2 Lexington KY 40504-3516
Phone: (595) 621-9808
Fax: (859) 257-0573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 260440 Kentucky
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 260440 Kentucky

Profile Details

NPI number 1477542009
LBN Legal business name Walters, Lisa Marie
Credentials OTR/L, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Feb 16th, 2022 - about 2 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 1477542009 NPPES
Kentucky MEDICAID 7100632600

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