Individual
LISA TWIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
13295 ILLINOIS ST STE 108, CARMEL, IN 46032-3020
(317) 288-1734
Mailing address
13295 ILLINOIS ST STE 108, CARMEL, IN 46032-3020
(317) 288-1734
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21204290
IN
Other
Enumeration date
01/20/2017
Last updated
04/22/2020
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