Individual
AUDREY LIGHTFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2396 LIBERTY WAY, VIRGINIA BEACH, VA 23456-3467
(757) 718-3626
Mailing address
1094 VALENCIA CT, VIRGINIA BEACH, VA 23454-6789
(757) 718-3626
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018112
VA
Other
Enumeration date
09/12/2023
Last updated
09/14/2023
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