- Practice location
- 108 Tandberg Trail, Windham, ME 04062
- Phone
- 207-893-0033
- Fax
- 207-893-1211
- Last updated
- April 21, 2009
Lisa Defosse is a Massage Therapist based in Windham, ME. Lisa Defosse practices in Windham, ME and has the professional credentials of LMT. The NPI Number for Lisa Defosse is 1629212733 and holds a License No. MT2834 (ME). The current practice location address for Lisa Defosse is 108 Tandberg Trail, Windham, ME 04062 and can be reached out via phone at 207-893-0033 and via fax at 207-893-1211.
Provider Profile Details
- NPI Number
- 1629212733
- Provider Name
- Lisa Defosse
- Credential
- LMT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 108 Tandberg Trail, Windham, ME 04062
- Phone Number
- 207-893-0033
- Fax Number
- 207-893-1211
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 21, 2009
- Last Update Date
- April 21, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 108 Tandberg Trail
Windham, ME 04062 - City
- Windham
- State
- Maine
- Zip
- 04062
- Phone Number
- 207-893-0033
- Fax Number
- 207-893-1211
Provider Business Mailing Address Details
- Address
- Po Box 2048
Windham, ME 04062-2048 - City
- Windham
- State
- ME
- Zip
- 04062-2048
- Phone Number
- 207-893-0033
- Fax Number
- 207-893-1211
License Information
- License Number
- MT2834
- License State
- ME
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lisa Defosse, LMT?
The NPI number of Lisa Defosse, LMT is 1629212733. It was assigned on April 21, 2009 and is currently active in the NPPES registry.
What is the specialty of Lisa Defosse, LMT?
Lisa Defosse, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in ME under license number MT2834.
Where does Lisa Defosse, LMT practice?
The practice location is 108 Tandberg Trail, Windham, ME 04062. The office can be reached at 207-893-0033 (phone) or 207-893-1211 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629212733 directly on the NPPES registry website.