Individual provider · Type 1 NPI
Lisa Nicole McEntire, L.M.T
Massage Therapist · Dallas, GA
NPI number
1972888758
Active
Practice location
119 Fairview Oak Trace
Dallas, GA 30157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT004159 (GA) |
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 Dallas
About NPI 1972888758
Lisa Nicole McEntire, L.M.T's National Provider Identifier is 1972888758, issued on Oct 12, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dallas, GA. The record was last updated on Oct 12, 2011.