Individual provider · Type 1 NPI

Lisa Smith, MPT

Military Health Care Provider · Lackland A F B, TX

NPI number 1225118920 Active

Practice location

2200 Bergquist Dr Ste 1, Attn: Credentials
Lackland A F B, TX 78236-9908

Call (210) 292-5034 Map

Mailing address

2180 Reese St Bldg 1285, Box 128
Lackland A F B, TX 78236-1042

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X1048445 (TX)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1225118920

Lisa Smith, MPT's National Provider Identifier is 1225118920, issued on Oct 17, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Lackland A F B, TX. The record was last updated on Jul 8, 2007.