Lisa Mormile
Massage Therapist in Selden, NY. Individual provider (NPI-1).
NPI number1730679481
StatusActive
Last updated in NPPESMay 17, 2018
Details
- NPI
- 1730679481
- Entity type
- Individual (NPI-1)
- Name
- Lisa Mormile
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2018
- Last updated
- May 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | NY | Yes |
Practice location
1305 Middle Country RdSelden, NY 11784-2554
Phone 631-707-4386
Mailing address
1305 Middle Country RdSelden, NY 11784-2554
Phone 631-707-4386
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All 15 Massage Therapist providers in Selden · All 510 providers in Selden
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