LISA LATREASA STAR SHERIDAN CMT
NPI 1689386070
Massage Therapist in Ukiah, CA

Active since December 19, 2022
1252 AIRPORT PARK BLD C5, UKIAH, CA 95482(707) 462-9448 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Latreasa Star Sheridan Cmt NPPES

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

LISA LATREASA STAR SHERIDAN CMT (NPI 1689386070) is an individual massage therapist in Ukiah, California, licensed in California (90275) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1689386070
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameLISA LATREASA STAR SHERIDANCredential: CMT
Location Address1252 AIRPORT PARK BLD C5Ukiah, CA 95482
Mailing Address38 W Oak StWillits, CA 95490 · (707) 354-5036
Sole ProprietorYes
Enumeration DateDecember 19, 2022
NPPES CertifiedDecember 17, 2022
NPI 1689386070 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 CA · 90275
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.
1252 AIRPORT PARK BLD C5, Ukiah, CA 95482

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Sheridan's NPI number?

The NPI number for Lisa Sheridan is 1689386070. It was assigned to this individual provider in the NPPES registry on December 19, 2022.

Where is Lisa Sheridan located?

Lisa Sheridan practices at 1252 Airport Park Bld C5, Ukiah, CA 95482. The listed phone number is (707) 462-9448.

What is Lisa Sheridan's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Sheridan was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.