Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LIZA BLACK
ActiveLIZA BLACK is a Physical Therapy Assistant healthcare provider located in EDGEWOOD, New Mexico. NPI 1972049153 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · EDGEWOOD, NM
Registration Details
- NPI Number
- 1972049153
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2017 (9.582398112604 yrs)
- Last Updated
- Jan 12, 2017
- License
-
2936 (NM)
Practice Information
- Address
-
1 LINNIE COURTEDGEWOOD, NM, 87015Browse NM providers · Browse ZIP 87015
- Phone
- 5052687838
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in EDGEWOOD, NM
| Name | Credential | NPI |
|---|---|---|
| MRS. DOREEN ELEANOR RUDMAN | PT | 1619948171 |
| MRS. TRACEY L ERICKSON | PT | 1669550604 |
| MRS. PAULA A JONES-IRVIN | P.T. | 1033284674 |
| VALERIE ANN GOVE | PT OCS COMT FAAOMPT | 1699810267 |
| TARIN GONZALES | P.T. | 1609028281 |
| CAROLYN G ADIE | PHYSICAL THERAPIST | 1982913851 |
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.