Lisa Xayasone
Physical Therapy Assistant
1806 Mapleleaf Blvd
Oldsmar
, Florida 34677-2732
Lisa Xayasone
Physical Therapy Assistant
1806 Mapleleaf Blvd
Oldsmar
, Florida 34677-2732
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Lisa Xayasone
- 10133 Sherrill Blvd Ste 200
- Knoxville, TN
- Zip : 37932-3347
- Phone :
Second Address
- Lisa Xayasone
- 1806 Mapleleaf Blvd
- Oldsmar, FL
- Zip : 34677-2732
- Phone : (737) 244-5391
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 11802 | FL |
National Provider Identifier
| NPI | 1003485517 |
|---|---|
| Provider Name | Lisa Xayasone |
| First Address | Knoxville, TN 37932-3347 |
| Second Address | Oldsmar, FL 34677-2732 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2021 |
| Last Update Date | 18/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.