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Lisa Latreasa Star Sheridan, CMT
Massage Therapist in Ukiah, California
NPI 1689386070

Lisa Latreasa Star Sheridan is a Massage Therapist based in Willits, CA. Lisa Latreasa Star Sheridan practices in Ukiah, CA and has the professional credentials of CMT. The NPI Number for Lisa Latreasa Star Sheridan is 1689386070 and holds a License No. 90275 (California).

The current practice location address for Lisa Latreasa Star Sheridan is 1252 Airport Park Bld C5, Ukiah, CA and can be reached out via phone at 707-462-9448.

Location: 1252 Airport Park Bld C5, Ukiah, CA, 95490
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689386070
Provider Name
Lisa Latreasa Star Sheridan
Credential
CMT
Provider Entity Type
Individual
Gender
Female
Address
1252 Airport Park Bld C5, Ukiah, CA, 95490
Phone Number
707-462-9448
Fax Number
Provider Enumeration Date
12/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1252 Airport Park Bld C5
City
Ukiah
State
California
Zip
95482
Phone Number
707-462-9448
Fax Number
person
Provider Business Mailing Address Details
Address
1252 Airport Park Bld C5
City
Ukiah
State
California
Zip
95482
Phone Number
707-462-9448
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
90275 (California)
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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