Individual provider · Type 1 NPI

Lisa Marie Roper, B.S, ATC, LAT

Respiratory/Developmental/Rehabilitative Specialist/Technologist · Meridian, ID

NPI number 1063455608 Active

Practice location

1900 W Pine Ave
Meridian, ID 83642-1961

Call (208) 350-4160 Map

Fax (208) 350-4178

Mailing address

4075 N Tallgrass Ave
Meridian, ID 83646-2613

Specialties and licenses

Taxonomy	Code	License
Athletic Trainer	2255A2300X	AT-AT-148663 (OR)
Respiratory/Developmental/Rehabilitative Specialist/Technologist Primary	225500000X	AT-374 (ID)

Respiratory/Developmental/Rehabilitative Specialist/Technologist: General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

2 other providers at this address

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About NPI 1063455608

Lisa Marie Roper, B.S, ATC, LAT's National Provider Identifier is 1063455608, issued on Jun 13, 2006. The primary taxonomy on file is Respiratory/Developmental/Rehabilitative Specialist/Technologist (225500000X), and the practice location is in Meridian, ID. The record was last updated on Dec 3, 2016.