Individual provider · Type 1 NPI
Lisha Myranda Estes, LMT
Massage Therapist · Southport, FL
NPI number
1306499629
Active
Practice location
1829 Edwards Rd
Southport, FL 32409-2403
Mailing address
10720 Hutchison Blvd Ste B
Panama City Beach, FL 32407-3708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA90239 (FL) |
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 1306499629
Lisha Myranda Estes, LMT's National Provider Identifier is 1306499629, issued on Jul 17, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Southport, FL. The record was last updated on Jul 17, 2019.