TIMOTHY J LISBON
NPI 1881572147
Massage Therapist in Shepherdstown, WV
- Individual
- Male
- Massage Therapist
About TIMOTHY LISBON
This page provides the complete NPI Profile along with additional information for Timothy Lisbon, a provider established in Shepherdstown, West Virginia with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1881572147 assigned on August 2025. The practitioner's primary taxonomy code is 225700000X with license number 2015-3355 (WV). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1881572147 Verify this NPI
- Provider Name
- TIMOTHY J LISBON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 129 E GERMAN ST STE C200C201 SHEPHERDSTOWN, WV 25443
- Location Phone
- (304) 860-0701
- Mailing Address
- 11 GENERAL EARLY DR HARPERS FERRY, WV 25425
- Mailing Phone
- (703) 216-5164
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-25-2025
- Last Update Date
- 08-25-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 2015-3355
- License State
- WV
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881572147, enumerated as an "individual" on August 25, 2025.
The provider is located at 129 E GERMAN ST STE C200C201 SHEPHERDSTOWN, WV 25443 and the phone number is (304) 860-0701.
Massage Therapist with taxonomy code 225700000X.
