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General NPI Number Information
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NPI Number | 1750406104
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Entity Type | Individual
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Provider Name | LISA HELEN SPRAGUE MSS, PTA, LMT
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 9051 TAMIAMI TRL N STE 101
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City | NAPLES
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State | FL
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Zip | 34108-2520
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Country | US
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Telephone | 239-594-5440
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Fax | 239-594-7547
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Provider Business Mailing Address
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Address Line | 5135 CEDAR SPRINGS DR APT 201
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City | NAPLES
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State | FL
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Zip | 34110-2372
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Country | US
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Telephone | 239-821-1223
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA-858
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA-21469
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License Number State | FL
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