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Lisa Waddell
Massage Therapist in Lititz, Pennsylvania
NPI 1194250589

Lisa Waddell is a Massage Therapist based in Lititz, PA. Lisa Waddell practices in Lititz, PA. The NPI Number for Lisa Waddell is 1194250589 and holds a License No. MSG000590 (Pennsylvania).

The current practice location address for Lisa Waddell is 690 Furnace Hills Pike, Lititz, PA and can be reached out via phone at 717-626-6288.

Location: 690 Furnace Hills Pike, Lititz, PA, 17543-8907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194250589
Provider Name
Lisa Waddell
Credential
Provider Entity Type
Individual
Gender
Female
Address
690 Furnace Hills Pike, Lititz, PA, 17543-8907
Phone Number
717-626-6288
Fax Number
Provider Enumeration Date
04/24/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81-3753875 01 PA MASSAGE THERAPY
institution
Provider Business Practice Location Address Details
Address
690 Furnace Hills Pike
City
Lititz
State
Pennsylvania
Zip
17543-8907
Phone Number
717-626-6288
Fax Number
person
Provider Business Mailing Address Details
Address
690 Furnace Hills Pike
City
Lititz
State
Pennsylvania
Zip
17543-8907
Phone Number
717-626-6288
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MSG000590 (Pennsylvania)
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.
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