Lisa Latreasa Star Sheridan, CMT

NPI #1689386070 in Ukiah, California

Provider Information

NPI Number: 1689386070
Entity Type: Individual
Name: Lisa Latreasa Star Sheridan, CMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: CMT
Enumeration Date: Dec 19, 2022
Last Updated: Dec 19, 2022

Practice Location

Address: 1252 AIRPORT PARK BLD C5
City: Ukiah
State: California
ZIP Code: 95482
Phone: (707) 462-9448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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