Individual
LISA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
153 US ROUTE 1, UNIT 26, SCARBOROUGH, ME 04074-9052
(207) 415-6458
Mailing address
153 US ROUTE 1, UNIT 26, SCARBOROUGH, ME 04074-9052
(207) 415-6458
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT348
ME
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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