Individual
LISA D TIPPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2594 HALL DR, LIMA, OH 45806-1634
(419) 230-2168
Mailing address
2594 HALL DR, LIMA, OH 45806-1634
(419) 230-2168
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.009483
OH
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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