Individual provider · Type 1 NPI
Lisa Labotte
Massage Therapist · Marion, IL
NPI number
1053709519
Active
Practice location
900 W White St
Marion, IL 62959-1855
Fax (618) 969-7174
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227.006986 (IL) |
Massage Therapist: 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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About NPI 1053709519
Lisa Labotte's National Provider Identifier is 1053709519, issued on Jan 6, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Marion, IL. The record was last updated on Jan 6, 2015.