Lisa Marie Ivens, LMT
Individual provider Active NPI Massage Therapist · Foster, RI
NPI 1295033603 · NPPES record last updated Mar 9, 2011
Key facts
- NPI
- 1295033603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT00552 (RI)
- Practice address
- 142A Danielson Pike
Foster, RI 02825-1475 - Phone
- (401) 241-1924
- NPI assigned
- Mar 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| MT00552 | RI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT00552 | RI | Yes |
Addresses
Primary practice location
142A Danielson Pike
Foster, RI 02825-1475
Mailing address
142A Danielson Pike
Foster, RI 02825-1475
Phone (401) 241-1924
Other providers in Foster, RI
- Foster School Department
- Anthony P Franco
- Jessica Gawrys
- M. Megan Giovanni
- Granite Brook Farm Inc.
- Cathleen Dee Jaderquist-Bassett
- Jerald I Kupperberg MD,Inc.
- Lawrence Howard Luppi
- Rodney Lybarger
- Kristin Maiello
All providers in Foster, RI · Massage Therapist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 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.