Individual
LISA EDELBROCK RICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
913 W LOGAN ST, CELINA, OH 45822-2000
(419) 586-1333
(419) 586-1333
Mailing address
913 W LOGAN ST, CELINA, OH 45822-2000
(419) 586-1333
(419) 586-1333
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33012163
OH
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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