Provider Demographics
NPI:1255679296
Name:HAUNSS, LISA KRISTINE (PT, MS, DPT)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:KRISTINE
Last Name:HAUNSS
Suffix:
Gender:F
Credentials:PT, MS, DPT
Other - Prefix:DR
Other - First Name:LISA
Other - Middle Name:KRISTINE
Other - Last Name:SANZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, MS, DPT
Mailing Address - Street 1:50 E RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3600
Mailing Address - Country:US
Mailing Address - Phone:914-864-1324
Mailing Address - Fax:
Practice Address - Street 1:50 E RIDGE LN
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3600
Practice Address - Country:US
Practice Address - Phone:914-864-1324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012935-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist