Individual
KATHERINE NICOLE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
702 S 12TH ST, LEBANON, PA 17042-6901
(201) 737-4224
Mailing address
702 S 12TH ST, LEBANON, PA 17042-6901
(201) 737-4224
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00754600
NJ
225700000X
Massage Therapist
Primary
MSG016445
PA
Other
Enumeration date
02/20/2019
Last updated
05/13/2026
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