Provider Demographics
NPI:1861572398
Name:MEISENHEIMER, LIZBETH MARGARET (PT)
Entity type:Individual
Prefix:MRS
First Name:LIZBETH
Middle Name:MARGARET
Last Name:MEISENHEIMER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LIZBETH
Other - Middle Name:MARGARET
Other - Last Name:FARQUHARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:811 E WALTANN LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-3507
Mailing Address - Country:US
Mailing Address - Phone:602-663-2060
Mailing Address - Fax:
Practice Address - Street 1:10165 N 92ND ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4558
Practice Address - Country:US
Practice Address - Phone:480-366-4640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2022-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ000830225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ112485Medicare PIN