Lisa A Simmons, LMP

NPI #1073821369 in Mount Vernon, Washington

Provider Information

NPI Number: 1073821369
Entity Type: Individual
Name: Lisa A Simmons, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Sep 20, 2010
Last Updated: Sep 20, 2010

Practice Location

Address: 1711 E COLLEGE WAY STE A
City: Mount Vernon
State: Washington
ZIP Code: 98273-5610
Phone: (360) 391-5227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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