Individual
MS. LISA PENDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4958 US-90 W, PACE, FL 32571
(850) 994-5656
Mailing address
4635 S ALBERTA DR, MILTON, FL 32583
(503) 201-7444
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA104222
FL
Other
Enumeration date
06/10/2014
Last updated
11/24/2025
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