Provider Demographics
NPI:1144585548
Name:LISA ANN MCCALL, INC.
Entity Type:Organization
Organization Name:LISA ANN MCCALL, INC.
Other - Org Name:MCCALL METHOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:214-957-0234
Mailing Address - Street 1:61548 WESTRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1905
Mailing Address - Country:US
Mailing Address - Phone:214-957-0234
Mailing Address - Fax:
Practice Address - Street 1:29 NW GREELEY AVE
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-2911
Practice Address - Country:US
Practice Address - Phone:214-957-0234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR66392251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty