Individual
LISA CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT , LMT
Contact information
Practice address
4101 MEXICO RD STE H, SAINT PETERS, MO 63376-6414
(314) 267-8217
Mailing address
4101 MEXICO RD STE H, SAINT PETERS, MO 63376-6414
(636) 947-4513
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
114828
MO
225700000X
Massage Therapist
Primary
2001009355
MO
Other
Enumeration date
04/02/2007
Last updated
01/05/2021
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