Lisa Adams, LMT, COTA/L

Individual provider Active NPI Massage Therapist · Des Moines, WA

NPI 1194273367 · NPPES record last updated Apr 5, 2018

Key facts

NPI
1194273367
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA60824013 (WA)
Practice address
933 S 262ND PL
Des Moines, WA 98198
Phone
(253) 230-7028
NPI assigned
Sep 16, 2016
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

LicenseStateTypeSpecialty
OC60602513WAMDOccupational Therapy Assistant
MA60824013WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OC60602513 WA
Massage Therapist 225700000X MA60824013 WA Yes

Addresses

Primary practice location

933 S 262ND PL
Des Moines, WA 98198

Mailing address

933 S 262ND PL
Des Moines, WA 98198
Phone (253) 230-7028

Other providers in Des Moines, WA

All providers in Des Moines, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.