Individual
LISA KREIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
690 FURNACE HILLS PIKE, LITITZ, PA 17543
(717) 626-6288
Mailing address
145 PARK AVE, EPHRATA, PA 17522
(717) 725-4601
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG004075
PA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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