Individual provider · Type 1 NPI

Lisa Latreasa Star Sheridan, CMT

Massage Therapist · Ukiah, CA

NPI number 1689386070 Active

Practice location

1252 Airport Park Bld C5
Ukiah, CA 95482

Call (707) 462-9448 Map

Mailing address

38 W Oak St
Willits, CA 95490

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X90275 (CA)

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 1689386070

Lisa Latreasa Star Sheridan, CMT's National Provider Identifier is 1689386070, issued on Dec 19, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ukiah, CA. The record was last updated on Dec 19, 2022.