Lisa Widdowson, LMT, CTT

NPI #1114490604 in La Vista, Nebraska

Provider Information

NPI Number: 1114490604
Entity Type: Individual
Name: Lisa Widdowson, LMT, CTT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, CTT
Enumeration Date: Jan 7, 2019
Last Updated: Jan 7, 2019

Practice Location

Address: 7200 S 84TH ST STE 140
City: La Vista
State: Nebraska
ZIP Code: 68128-2115
Phone: (402) 915-1590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Reflexologist	173C00000X
Health Educator	174H00000X
Private Vehicle	347C00000X
Massage Therapist	225700000X	Primary

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