Individual provider · Type 1 NPI
Lisa P. Mitchell, LMT, MLD-C
Massage Therapist · Garden City, NY
NPI number
1780369074
Active
Practice location
1 Old Country Road, Suite 102, C/o Lisa Mitchell, Suite 408
Garden City, NY 11530
Mailing address
68 Weatherby Ln
Central Islip, NY 11722-4549
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 030106-02 (NY) |
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 1780369074
Lisa P. Mitchell, LMT, MLD-C's National Provider Identifier is 1780369074, issued on Jun 15, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Garden City, NY. The record was last updated on Jun 15, 2023.