LISA DEFOSSE LMT - NPI 1629212733 - Massage Therapist in Windham, ME

Q: What is Lisa Defosse's NPI number?

The NPI number for Lisa Defosse is 1629212733. It was assigned to this individual provider in the NPPES registry on April 21, 2009.

Q: What is Lisa Defosse's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Defosse was last updated on April 21, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lisa Defosse Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA DEFOSSE LMT (NPI 1629212733) is an individual massage therapist in Windham, Maine, licensed in Maine (MT2834) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1629212733

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameLISA DEFOSSECredential: LMT

Location Address108 TANDBERG TRAILWindham, ME 04062

Mailing AddressPo Box 2048Windham, ME 04062-2048 · (207) 893-0033 · Fax (207) 893-1211

Phone(207) 893-0033

Fax(207) 893-1211

Sole ProprietorYes

Enumeration DateApril 21, 2009

✔ NPI 1629212733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in ME · MT2834

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

108 TANDBERG TRAIL, Windham, ME 04062

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