Individual
LISA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3576 QUAD PKWY, MONTGOMERY, AL 36116-6750
(334) 590-8814
Mailing address
9161 HELENA DR, PIKE ROAD, AL 36064-2479
(334) 590-8814
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6201
AL
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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