Individual
MRS. LISA J SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
44 HUGHES RD, SUITE 1050, MADISON, AL 35758-3045
(256) 325-5400
(256) 325-5469
Mailing address
44 HUGHES RD, SUITE 1050, MADISON, AL 35758-3045
(256) 325-5400
(256) 325-5469
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT2046
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMT2046
STATE LICENSE
AL
Enumeration date
10/05/2012
Last updated
10/05/2012
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