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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA NICOLE MCENTIRE, L.M.T

Active Sole Proprietor

LISA NICOLE MCENTIRE, L.M.T is a Massage Therapist healthcare provider located in DALLAS, Georgia. NPI 1972888758 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · DALLAS, GA

Registration Details

NPI Number
1972888758
Provider Type
Individual
Gender
Female
NPI Issued
Oct 12, 2011 (14.857409929506 yrs)
Last Updated
Oct 12, 2011
License
MT004159 (GA)
Sole Proprietor
Yes

Practice Information

Address
119 FAIRVIEW OAK TRACE
DALLAS, GA, 30157
Browse GA providers · Browse ZIP 30157
Phone
7068531787
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in DALLAS, GA

Name Credential NPI
KARA BOWMAN LMT, NMT 1265127856
MEAGAN K MOORE LMT 1447942487
ERIN HICKS 1063261261
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.