Individual
MS. JOAN CHIAKI ISHIBASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
17422 CLIFTON BLVD, LAKEWOOD, OH 44107-2212
(216) 333-2722
Mailing address
17422 CLIFTON BLVD, LAKEWOOD, OH 44107-2212
(216) 333-2722
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13445
OH
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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