Organization · Type 2 NPI
Jenna Lisenby, Dpt, LLC
Pediatric Physical Therapist · Mount Vernon, WA
Practice location
1100 Roosevelt Ave Ste D
Mount Vernon, WA 98273-2427
Fax (360) 336-3492
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | PT00007768 (WA) |
| Pediatric Physical Therapist Primary | 2251P0200X | None listed |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
2 other providers at this address
About NPI 1891096194
Jenna Lisenby, Dpt, LLC's National Provider Identifier is 1891096194, issued on Nov 3, 2010. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Mount Vernon, WA. The record was last updated on Dec 14, 2020.