Individual provider · Type 1 NPI

Mark Jeffery Lisembee, PTA

Physical Therapy Assistant · Bowling Green, KY

NPI number 1225326895 Active

Practice location

1561 Newton Ave
Bowling Green, KY 42104-3238

Call (270) 842-1611 Map

Fax (270) 842-3858

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA02788 (KY)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1225326895

Mark Jeffery Lisembee, PTA's National Provider Identifier is 1225326895, issued on Jul 18, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bowling Green, KY. The record was last updated on May 22, 2012.