Individual provider · Type 1 NPI

Lisa Marie Coddington

Massage Therapist · Traverse City, MI

NPI number 1285396689 Active

Practice location

1105 6th St
Traverse City, MI 49684-2345

Fax (231) 935-7528

Mailing address

6740 W 6 Rd
Mesick, MI 49668-9338

Specialties and licenses

TaxonomyCodeLicense
Cytotechnology Specialist/Technologist 246QC2700X03826122 (MI)
Massage Therapist Primary 225700000X7501008667 (MI)
Massage Therapist 225700000XNone listed

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 1285396689

Lisa Marie Coddington's National Provider Identifier is 1285396689, issued on Oct 13, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Traverse City, MI. The record was last updated on Oct 13, 2021.