Darst, Lisa Joann
Darst, Lisa Joann is an sole proprietor health care provider with primary practice located at 601 W Cameron Ave Mountain Valley Care & Rehabilitation Center, Kellogg ID 83837-2004. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Darst, Lisa Joann can be contacted via phone (208) 784-1283.Contact Information
Primary practice address
601 W Cameron Ave Mountain Valley Care & Rehabilitation Center
Kellogg ID 83837-2004
Phone: (208) 784-1283
Fax: (208) 784-0151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | RPT-855 | Idaho |
Profile Details
| NPI number | 1932366325 |
|---|---|
| LBN Legal business name | Darst, Lisa Joann |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2008 |
| Last updated | Dec 17th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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