Lisa Marie Lopez, L.M.T. MT010087
Massage Therapist in Corpus Christi, TX. Individual provider (NPI-1).
NPI number1710692306
StatusActive
Last updated in NPPESJan 18, 2023
Details
- NPI
- 1710692306
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lisa Marie Lopez
- Credential
- L.M.T. MT010087
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 18, 2023
- Certification date
- Jan 18, 2023
- Last updated
- Jan 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT010087 | TX | Yes |
Practice location
10113 Up River Rd Apt 9103Corpus Christi, TX 78410-2009
Phone 361-548-6670
Mailing address
10113 Up River Rd Apt 9103Corpus Christi, TX 78410-2009
Phone 361-548-6670
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