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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 2015-3355 (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.