Individual
LISA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2804 BIRCH ST, PARKERSBURG, WV 26101-1910
(330) 619-8570
Mailing address
3803 GRAND CENTRAL AVE, VIENNA, WV 26105-1749
(330) 619-8570
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2023-4016
WV
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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