Individual
LISA AMINDA SKELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
19 S PERRY ST, VANDALIA, OH 45377-2120
(937) 315-7192
Mailing address
6532 CONWAY DR, ENON, OH 45323-1210
(937) 315-7192
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.016858
OH
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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