Individual
LISA MARIE KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT, BCTMB
Contact information
Practice address
524 W CORDOVA RD, SANTA FE, NM 87505-1822
(505) 316-6325
Mailing address
2310 CASA RUFINA RD UNIT 222, SANTA FE, NM 87507-8304
(505) 316-6325
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4208
NM
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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