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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA35780 (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.