Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 12089 | CO |
NPI | 1013273127 |
---|---|
Provider Name | Misty Kay Liming |
First Address | Aurora, CO 80013-4585 |
Second Address | Aurora, CO 80014-5073 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2012 |
Last Update Date | 26/07/2013 |