Lisa Joann Darst, MPT

NPI #1932366325 in Kellogg, Idaho

Provider Information

NPI Number: 1932366325
Entity Type: Individual
Name: Lisa Joann Darst, MPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: May 22, 2008
Last Updated: Dec 17, 2018

Practice Location

Address: 601 W CAMERON AVE
Address 2: MOUNTAIN VALLEY CARE & REHABILITATION CENTER
City: Kellogg
State: Idaho
ZIP Code: 83837-2004
Phone: (208) 784-1283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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