Individual
LISA MARIE CODDINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-6698
(231) 935-7528
Mailing address
6740 W 6 RD, MESICK, MI 49668-9338
(231) 429-0646
(231) 935-7528
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501008667
MI
225700000X
Massage Therapist
—
—
246QC2700X
Cytotechnology Specialist/Technologist
03826122
MI
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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