Provider Demographics
NPI:1033459946
Name:VOGEL, LISA ANNE (DPT)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANNE
Last Name:VOGEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CRESCENT CENTRE DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7269
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:750 COLONIAL PROMENADE PKWY
Practice Address - Street 2:SUITE 4400
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-3142
Practice Address - Country:US
Practice Address - Phone:205-358-1040
Practice Address - Fax:205-358-1041
Is Sole Proprietor?:No
Enumeration Date:2013-03-01
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH6741225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist