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JENNA LISENBY DPT LLC NPI 1891096194


NPI Information

NPI: 1891096194
Provider Name: JENNA LISENBY, DPT, LLC

Doing Business As: VALLEY KIDS THERAPY

Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
1100 ROOSEVELT AVE STE D
MOUNT VERNON, WA
ZIP 98273
Phone: (360) 336-3432
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JENNA LISENBY, DPT, LLC is a pediatrics physical therapist in Mount Vernon, WA. The provider is 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 therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. JENNA LISENBY, DPT, LLC NPI is 1891096194. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Valley Kids Therapy.

The provider's business location address is:

1100 ROOSEVELT AVE STE D
MOUNT VERNON, WA
ZIP 98273-427
Phone: (360) 336-3432
Fax: (360) 336-3492

The provider's authorized official is Jenna Anne Lisenby .
The authorized official title is Owner/ Pt and has the following contact phone number (360) 336-3432.

The enumeration date for this NPI number is 11/3/2010 and was last updated on 12/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistPT00007768WASHINGTONNo
22251P0200XPhysical TherapistPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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