Most Relevant Information
Provider Data
| NPI Number: | 1003007451 |
| Provider Name: | LISA KAY WILLIS PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 2000154583 |
Most Important Dates
| Enumeration Date: | 08/08/2007 |
| Last Updated: | 08/08/2007 |
Provider Practice Location
556 AUBUCHON RD
TROY
MO
633794338
Practice Location Phone/Fax
| Phone: | 6363384095 |
| Fax: |
Provider Mailing Location
556 AUBUCHON RD
TROY
MO
633794338
Provider Mailing Phone/Fax
| Phone: | 6363384095 |
| Fax: |