Individual
MARK LISKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
808 VALLEY FORGE RD STE 105, PHOENIXVILLE, PA 19460-2624
(610) 955-6695
Mailing address
3 FOX RUN LN, NEWTOWN SQUARE, PA 19073-1004
(610) 955-6695
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG003838
PA
Other
Enumeration date
09/17/2017
Last updated
09/17/2017
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