Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA WIDDOWSON, LMT, CTT
Active Sole ProprietorLISA WIDDOWSON, LMT, CTT is a Massage Therapist healthcare provider located in LA VISTA, Nebraska. NPI 1114490604 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · LA VISTA, NE
Registration Details
- NPI Number
- 1114490604
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 7, 2019 (7.5558303676609 yrs)
- Last Updated
- Jan 7, 2019
- Licenses
-
G01-370662 (NE)2595 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7200 S 84TH ST STE 140LA VISTA, NE, 681282115Browse NE providers · Browse ZIP 68128
- Phone
- 4029151590
- Fax
- 4029390614
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Health Educator
- Additional Specialty
- Private Vehicle
- Additional Specialty
- Massage Therapist
Other Massage Therapist Providers in LA VISTA, NE
| Name | Credential | NPI |
|---|---|---|
| MRS. KENDRA AMIDON | LMT | 1487169116 |
| TERRA T SOMA | LMT | 1770379802 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.