MRS. LISA DAWN LUCERO LMP
NPI 1649680398
Massage Therapist in Olympia, WA
Active since May 04, 2014
About Mrs. Lisa Dawn Lucero Lmp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LISA DAWN LUCERO LMP (NPI 1649680398) is an individual massage therapist in Olympia, Washington, licensed in Washington (MA 60444030) and active in the NPI registry since May 2014.
NPPES Registry Identity
NPI1649680398
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMRS. LISA DAWN LUCEROCredential: LMP
Location Address2409 PACIFIC AVE SEOlympia, WA 98501-2065
Mailing Address6212 Winnwood Loop SeOlympia, WA 98513-7621 · (360) 250-3469
Phone(360) 250-3469
Sole ProprietorYes
Enumeration DateMay 4, 2014
✔ NPI 1649680398 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 WA · MA 60444030
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.
2409 PACIFIC AVE SE, Olympia, WA 98501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649680398, enumerated as an "individual" on May 04, 2014.
The provider is located at 2409 PACIFIC AVE SE OLYMPIA, WA 98501 and the phone number is (360) 250-3469.
Massage Therapist with taxonomy code 225700000X.
