Lisa Stabe
Individual provider Active NPI Massage Therapist · Fern Creek, KY
NPI 1194004549 · NPPES record last updated Aug 16, 2011
Key facts
- NPI
- 1194004549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 2365 (KY)
- Practice address
- 8015 Bardstown Rd
Fern Creek, KY 40291-3439 - Phone
- (502) 239-3993
- Fax
- (502) 239-3939
- NPI assigned
- Aug 16, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2365 | KY | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2365 | KY | Yes |
Addresses
Primary practice location
8015 Bardstown Rd
Fern Creek, KY 40291-3439
Mailing address
8015 Bardstown Rd
Fern Creek, KY 40291-3439
Phone (502) 239-3993
Other providers in Fern Creek, KY
All providers in Fern Creek, KY · Massage Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.