Individual provider · Type 1 NPI

Lisa Marie Logan, LMT

Massage Therapist · Melrose, FL

NPI number 1548096969 Active

Practice location

309 State Road 26
Melrose, FL 32666-3906

Mailing address

PO Box 482
Earleton, FL 32631-0482

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X76038 (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 1548096969

Lisa Marie Logan, LMT's National Provider Identifier is 1548096969, issued on Sep 11, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Melrose, FL. The record was last updated on Sep 11, 2024.