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NPI Profile for LISA WIDDOWSON in LA VISTA, NE.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Massage Therapist |
225700000X | |||
Health Educator |
174H00000X | |||
Private Vehicle |
347C00000X | |||
Reflexologist |
173C00000X |
| NPI Number | 1114490604 |
|
| Status | Active | |
| Credentials | LMT, CTT | |
| Entity | Individual | |
| Enumeration date | 01/07/2019 | |
| Last updated | 01/07/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LISA WIDDOWSON
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LISA WIDDOWSON, LMT, CTT