Lisa Formby, LMT

NPI #1265705966 in Midlothian, Texas

Provider Information

NPI Number: 1265705966
Entity Type: Individual
Name: Lisa Formby, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 12, 2012
Last Updated: Feb 12, 2012

Practice Location

Address: 717 CHELSEA DR
City: Midlothian
State: Texas
ZIP Code: 76065-8739
Phone: (214) 949-0902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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