Provider Demographics
NPI:1396922092
Name:MCMAHON, LISA M (PT)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:M
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5220 SW 17TH ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-2459
Mailing Address - Country:US
Mailing Address - Phone:785-271-5533
Mailing Address - Fax:785-271-8818
Practice Address - Street 1:5220 SW 17TH ST
Practice Address - Street 2:SUITE 130
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-2459
Practice Address - Country:US
Practice Address - Phone:785-271-5533
Practice Address - Fax:785-271-8818
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1103782225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist