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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X030106-02 (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.