Individual provider · Type 1 NPI
Lisa Widdowson, LMT, CTT
Massage Therapist · La Vista, NE
NPI number
1114490604
Active
Practice location
7200 S 84th St Ste 140
La Vista, NE 68128-2115
Fax (402) 939-0614
Mailing address
7210 S 75th St
La Vista, NE 68128-2220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Reflexologist | 173C00000X | None listed |
| Health Educator | 174H00000X | None listed |
| Private Vehicle | 347C00000X | G01-370662 (NE) |
| Massage Therapist Primary | 225700000X | 2595 (NE) |
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.
Other massage therapist providers in La Vista
About NPI 1114490604
Lisa Widdowson, LMT, CTT's National Provider Identifier is 1114490604, issued on Jan 7, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in La Vista, NE. The record was last updated on Jan 7, 2019.