National Provider Identifier

Lisa Marie Webster, PT

Lisa Marie Webster, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Bath, NY and a listed phone number of (607) 776-8880.

NPI 1043535537Bath, NYPhysical Therapist

Profile Overview

NPI
1043535537
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
March 29, 2010
Last Updated
March 29, 2010

Practice Location

  • 7571 State Route 54
  • Ira Davenport Mem.Hospital, Rehab Services Department
  • Bath, NY 14810-9504

Phone: (607) 776-8880

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1043535537
Entity Type
Individual
Last Name
Webster
First Name
Lisa
Middle Name
Marie
Name Prefix
Mrs.
Credential
PT
Provider Other Last Name
Bogardus
Provider Other First Name
Lisa
Provider Other Middle Name
Marie
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
PT
Provider Other Last Name Type Code
1
Mailing Street Address
7571 State Route 54
Mailing Address Line 2
Ira Davenport Mem.Hospital, Rehab Services Department
Mailing City
Bath
Mailing State
NY
Mailing ZIP Code
14810-9504
Mailing Country
US
Mailing Phone
(607) 776-8880
Mailing Fax
(607) 776-8635
Practice Street Address
7571 State Route 54
Practice Address Line 2
Ira Davenport Mem.Hospital, Rehab Services Department
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-9504
Practice Country
US
Practice Phone
(607) 776-8880
Practice Fax
(607) 776-8635
Enumeration Date
March 29, 2010
Last Updated
March 29, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)