Individual provider · Type 1 NPI

Lance Georgeson, PHYSICAL THERAPIST

Orthopedic Physical Therapist · Mammoth Lakes, CA

NPI number 1306988274 Active

Practice location

85 Sierra Park Rd
Mammoth Lakes, CA 93546-0660

Fax (760) 934-1779

Mailing address

PO Box 660, 85 Sierra Park Rd
Mammoth Lakes, CA 93546-0660

Specialties and licenses

TaxonomyCodeLicense
Hand Physical Therapist 2251H1200XPT25858 (CA)
Neurology Physical Therapist 2251N0400XPT25858 (CA)
Pediatric Physical Therapist 2251P0200XPT25858 (CA)
Sports Physical Therapist 2251S0007XPT25858 (CA)
Orthopedic Physical Therapist Primary 2251X0800XPT25858 (CA)
Physical Therapist 225100000XPT25858 (CA)
Ergonomics Physical Therapist 2251E1200XPT25858 (CA)
Geriatric Physical Therapist 2251G0304XPT25858 (CA)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1306988274

Lance Georgeson, PHYSICAL THERAPIST's National Provider Identifier is 1306988274, issued on Feb 13, 2007. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Mammoth Lakes, CA. The record was last updated on Sep 11, 2025.