Individual
LISA GAIL CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1911 S NATIONAL AVE STE 407, SPRINGFIELD, MO 65804-2213
(417) 612-8508
Mailing address
1911 S NATIONAL AVE STE 407, SPRINGFIELD, MO 65804-2213
(417) 612-8508
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2020034493
MO
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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