Individual
LISA MARIE SCRIVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1939 S TAMIAMI TRL, VENICE, FL 34293-5004
(617) 283-9845
Mailing address
857 MACAW CIR, VENICE, FL 34285-6622
(617) 283-9845
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
102973
FL
Other
Enumeration date
06/28/2024
Last updated
04/05/2026
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