Individual provider · Type 1 NPI

Lisa Mary Macgovern, LMT

Massage Therapist · Ormond Beach, FL

NPI number 1376955997 Active

Practice location

55 Vining Ct Apt 113
Ormond Beach, FL 32176-6676

Mailing address

190 Vining Ct
Ormond Beach, FL 32176-6658

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA35780 (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.

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About NPI 1376955997

Lisa Mary Macgovern, LMT's National Provider Identifier is 1376955997, issued on Jun 2, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ormond Beach, FL. The record was last updated on Jun 2, 2014.