Waggener, Lisa

Waggener, Lisa is an individual health care provider with primary practice located at 620 Skyline Dr , Jackson TN 38301-3923. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Waggener, Lisa can be contacted via phone (615) 495-6350.

Contact Information

Primary practice address
620 Skyline Dr Jackson TN 38301-3923
Phone: (615) 495-6350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 3085 Tennessee

Profile Details

NPI number 1922289867
LBN Legal business name Waggener, Lisa
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2007
Last updated Dec 10th, 2012 - about 14 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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