Individual provider · Type 1 NPI

Timothy J. Lisbon

Massage Therapist · Shepherdstown, WV

NPI number 1881572147 Active

Practice location

129 E German St Ste C200C201
Shepherdstown, WV 25443-3528

Mailing address

11 General Early Dr
Harpers Ferry, WV 25425-3069

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2015-3355 (WV)

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 1881572147

Timothy J. Lisbon's National Provider Identifier is 1881572147, issued on Aug 25, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Shepherdstown, WV. The record was last updated on Aug 25, 2025.