Individual
MISS LISA RAE FRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
1110 BEECHER XING N, SUITE B, GAHANNA, OH 43230-4564
(614) 855-8828
Mailing address
1110 BEECHER XING N, SUITE B, GAHANNA, OH 43230-4564
(614) 855-8828
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.017114-E-G
OH
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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