Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | P7601 | NC |
NPI | 1003313073 |
---|---|
Provider Name | Lisa Mcwherter |
First Address | Asheville, NC 28805-2419 |
Second Address | Asheville, NC 28803-2318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2018 |
Last Update Date | 06/04/2018 |