Provider Demographics
NPI:1588482954
Name:LISEMBEE, SARAH E (DPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:LISEMBEE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:418 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-0704
Mailing Address - Country:US
Mailing Address - Phone:270-926-8145
Mailing Address - Fax:270-926-8147
Practice Address - Street 1:526 E 4TH ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IN
Practice Address - Zip Code:47620-2061
Practice Address - Country:US
Practice Address - Phone:812-831-3773
Practice Address - Fax:812-831-3774
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN05015726A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist