Audrey Evanson, LMT
NPI #1083149140 in Lisbon, North Dakota
Provider Information
- NPI Number
- 1083149140
- Entity Type
- Individual
- Name
- Audrey Evanson, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Apr 26, 2017
- Last Updated
- Apr 26, 2017
Practice Location
- Address
- 416 MAIN ST
- City
- Lisbon
- State
- North Dakota
- ZIP Code
- 58054-4142
- Phone
- (701) 680-9167
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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