Individual provider · Type 1 NPI

Lisa Marie Bonaventura, LMT

Massage Therapist · Mount Pleasant, SC

NPI number 1578062014 Active

Practice location

1501 N Highway 17 Unit J
Mount Pleasant, SC 29464-3342

Call (843) 412-7033 Map

Fax (843) 412-7033

Mailing address

367 Pluff Mud Aly
Mount Pleasant, SC 29464-8149

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X5139 (SC)

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 1578062014

Lisa Marie Bonaventura, LMT's National Provider Identifier is 1578062014, issued on Feb 11, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mount Pleasant, SC. The record was last updated on Feb 11, 2018.