Individual provider · Type 1 NPI
Audrey Evanson, LMT
Massage Therapist · Lisbon, ND
NPI number
1083149140
Active
Practice location
416 Main St
Lisbon, ND 58054-4142
Mailing address
14061 62 1/2 St SE
Lisbon, ND 58054-9421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 1729 (ND) |
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.
About NPI 1083149140
Audrey Evanson, LMT's National Provider Identifier is 1083149140, issued on Apr 26, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lisbon, ND. The record was last updated on Apr 26, 2017.