Individual
TIMOTHY J LISBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 E GERMAN ST STE C200C201, SHEPHERDSTOWN, WV 25443-3528
(304) 860-0701
Mailing address
11 GENERAL EARLY DR, HARPERS FERRY, WV 25425-3069
(703) 216-5164
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2015-3355
WV
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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