Individual provider · Type 1 NPI

Delisa Lane, LMT

Massage Therapist · Dumfries, VA

NPI number 1457967994 Active

Practice location

4000 Middleton Loop Apt 203
Dumfries, VA 22025-2113

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0009010852 (VA)

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 1457967994

Delisa Lane, LMT's National Provider Identifier is 1457967994, issued on Sep 21, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dumfries, VA. The record was last updated on Sep 21, 2020.