Lisa Marie Ivens, LMT

NPI #1295033603 in Foster, Rhode Island

Provider Information

NPI Number: 1295033603
Entity Type: Individual
Name: Lisa Marie Ivens, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 9, 2011
Last Updated: Mar 9, 2011

Practice Location

Address: 142A DANIELSON PIKE
City: Foster
State: Rhode Island
ZIP Code: 02825-1475
Phone: (401) 241-1924

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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