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MRS. LISA ANN JEFFREY LMT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1609012491

Individual Registrant:
MRS. LISA ANN JEFFREY LMT
Gender: F
Sole Proprietor

Location and contact information for practice:
32675 PENNSYLVANIA AVE.  SAN ANTONIO, FL 33576 US
Tel: 813-838-1787  Fax: 352-437-4059

Contact information for business:
PO BOX 2420  SAINT LEO, FL 33574-2420 US
Tel: 813-838-1787  Fax: 352-437-4059

Registration Information:
NPI: 1609012491
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
FLMA 55167

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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