Most Relevant Information
Provider Data
| NPI Number: | 1003822792 |
| Provider Name: | LISA M WILLER MS PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501007693 |
Most Important Dates
| Enumeration Date: | 08/01/2006 |
| Last Updated: | 03/25/2011 |
Provider Practice Location
5709 SAINT JOSEPH AVE
STEVENSVILLE
MI
491271239
Practice Location Phone/Fax
| Phone: | 2695560930 |
| Fax: | 2694290114 |
Provider Mailing Location
PO BOX 458
NILES
MI
491200458
Provider Mailing Phone/Fax
| Phone: | 2695560930 |
| Fax: | 2694290114 |