Provider Demographics
NPI:1447330824
Name:AKERS, LISA MARIE (PT MS)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:MARIE
Last Name:AKERS
Suffix:
Gender:F
Credentials:PT MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44461 W ADOBE CIR
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85139-8823
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:44461 W ADOBE CIR
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85139-8823
Practice Address - Country:US
Practice Address - Phone:520-568-8348
Practice Address - Fax:520-568-8348
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2308225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ2308OtherLICENSE NUMBER FOR PHYSICAL THERAPY
AZ102619Medicare PIN
AZ81894Medicare ID - Type Unspecified