Individual provider · Type 1 NPI
Lisa Marie Juarez Bostic
Rehabilitation Practitioner · West St. Paul, MN
NPI number
1184746612
Active
Practice location
1 Thompson Ave W
West St. Paul, MN 55118-3100
Mailing address
1756 Dodd Rd
St. Paul, MN 55118-3729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | None listed |
Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
4 other providers at this address
- Walker Senior Housing Corporation IxAssisted Living Facility St. Paul, MN NPI 1306942883
- Madison Gratzer, DPTPhysical Therapist West St. Paul, MN NPI 1861366684
- Raymond John Fabian Jr., PTAPhysical Therapy Assistant West St. Paul, MN NPI 1922958610
- William Brice Gonzalez-Couture, PT, DPTPhysical Therapist West St. Paul, MN NPI 1962329532
About NPI 1184746612
Lisa Marie Juarez Bostic's National Provider Identifier is 1184746612, issued on Apr 4, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in West St. Paul, MN. The record was last updated on Feb 25, 2026.