Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 11-01773 | KS |
NPI | 1003164534 |
---|---|
Provider Name | Lisa Michelle Rohrbaugh |
First Address | Lenexa, KS 66214-1505 |
Second Address | Lenexa, KS 66214-1505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2012 |
Last Update Date | 28/09/2018 |