Provider Demographics
NPI:1215186416
Name:GEIGER, LISA JEAN (OTR)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:JEAN
Last Name:GEIGER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:184 N MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:FRANKENMUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48734-1255
Mailing Address - Country:US
Mailing Address - Phone:989-262-8500
Mailing Address - Fax:989-262-8501
Practice Address - Street 1:184 N MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:FRANKENMUTH
Practice Address - State:MI
Practice Address - Zip Code:48734-1255
Practice Address - Country:US
Practice Address - Phone:989-262-8500
Practice Address - Fax:989-262-8501
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201007191225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist