Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA KIMBERLY ENNIS, PT MPT
ActivePhysical Therapy Assistant · MORENO VALLEY, CA
Registration Details
- NPI Number
- 1871577759
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 3, 2005 (20.382339208212 yrs)
- Last Updated
- Nov 1, 2021
- License
-
PT22506 (CA)
Practice Information
- Address
-
23100 EUCALYPTUS AVE STE CMORENO VALLEY, CA, 925535439Browse CA providers · Browse ZIP 92553
- Phone
- 9513791500
- Fax
- 9513791501
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MORENO VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| GLYNISS CLAUDETTE GREEN | PT, DPT, OCS | 1164406377 |
| ANTHONY RENEL TABINGO II | MPT | 1336129360 |
| DR. CYNTHIA LYNN TUMBLESON | D.P.T. | 1750338976 |
| LESLIE LAYMAN | PT | 1841379088 |
| LISA KATHLEEN MARTIN | PHYSICAL THERAPIST | 1487849030 |
| FRANCES LIM | PT DPT | 1942477641 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.