Individual
TELISHA LASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14077 CEDAR RD, LL8, SOUTH EUCLID, OH 44118-3338
(216) 321-1141
Mailing address
2824 E 120TH ST, CLEVELAND, OH 44120-2122
(216) 835-4742
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.018721-L-M
OH
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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