Individual provider · Type 1 NPI

Lisa Kelli Glenn, LMT

Specialist · Gainesville, FL

NPI number 1558804609 Active

Practice location

6450 SW Archer Rd, 210
Gainesville, FL 32608-6133

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA18140 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1558804609

Lisa Kelli Glenn, LMT's National Provider Identifier is 1558804609, issued on Nov 22, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gainesville, FL. The record was last updated on Nov 22, 2016.