Individual
LISA KAYE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP, HHP
Contact information
Practice address
40520 W SANDERS WAY, MARICOPA, AZ 85138-6626
(619) 507-7430
Mailing address
40520 W SANDERS WAY, MARICOPA, AZ 85138-6626
(619) 507-7430
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-18864
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-18864
STATE LICENSE NUMBER
AZ
Enumeration date
01/16/2019
Last updated
06/11/2019
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