Healthcare Provider Details

I. General information

NPI: 1225972300
Provider Name (Legal Business Name): LISA SMITTKAMP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 E COURT ST
PARIS IL
61944-2460
US

IV. Provider business mailing address

721 E COURT ST
PARIS IL
61944-2460
US

V. Phone/Fax

Practice location:
  • Phone: 217-465-4141
  • Fax: 217-465-5615
Mailing address:
  • Phone: 217-465-4141
  • Fax: 217-465-5615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number096001159
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: