Healthcare Provider Details

I. General information

NPI: 1508982596
Provider Name (Legal Business Name): LISA GAIER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 E TOWN ST
COLUMBUS OH
43215-4767
US

IV. Provider business mailing address

323 E TOWN ST
COLUMBUS OH
43215-4767
US

V. Phone/Fax

Practice location:
  • Phone: 614-897-0449
  • Fax:
Mailing address:
  • Phone: 614-897-0449
  • Fax: 425-861-6277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00008681
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT011885
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: