Individual provider · Type 1 NPI
Lisa Ann Reavley, LMT
Massage Therapist · Blue Jay, CA
NPI number
1912545658
Active
Practice location
27215 Unit B Hwy 189
Blue Jay, CA 92317
Mailing address
PO Box 152
Cedar Glen, CA 92321-0152
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 73153 (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.
Other massage therapist providers in Blue Jay
About NPI 1912545658
Lisa Ann Reavley, LMT's National Provider Identifier is 1912545658, issued on Dec 12, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Blue Jay, CA. The record was last updated on Dec 12, 2019.