Lisa Edelbrock Ricker, L.M.T.

NPI #1043544398 in Celina, Ohio

Provider Information

NPI Number: 1043544398
Entity Type: Individual
Name: Lisa Edelbrock Ricker, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Sep 18, 2009
Last Updated: Sep 18, 2009

Practice Location

Address: 913 W LOGAN ST
City: Celina
State: Ohio
ZIP Code: 45822-2000
Phone: (419) 586-1333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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