Individual provider · Type 1 NPI

Lisa Dawn Upson, PTA

Physical Therapy Assistant · Boise, ID

NPI number 1689835290 Active

Practice location

1001 S Hilton St
Boise, ID 83705-1925

Call (208) 392-7926 Map

Mailing address

607 S Hawthorne Ave
Emmett, ID 83617-3633

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA 433 (ID)

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 1689835290

Lisa Dawn Upson, PTA's National Provider Identifier is 1689835290, issued on Jun 17, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Boise, ID. The record was last updated on Jun 17, 2008.