Provider Demographics
NPI:1437934544
Name:JAMES, LISETTE (PT)
Entity Type:Individual
Prefix:
First Name:LISETTE
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5804 COIT RD STE 108
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-5957
Mailing Address - Country:US
Mailing Address - Phone:312-799-9949
Mailing Address - Fax:
Practice Address - Street 1:5804 COIT RD STE 108
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-5957
Practice Address - Country:US
Practice Address - Phone:312-799-9949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist