Individual
LISA MCNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CFSS
Contact information
Practice address
400 W MORELAND BLVD STE A, WAUKESHA, WI 53188-2425
(262) 373-8765
Mailing address
400 W MORELAND BLVD STE A, WAUKESHA, WI 53188-2425
(262) 373-8765
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10918-146
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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