Healthcare Provider Details

I. General information

NPI: 1295067379
Provider Name (Legal Business Name): LISA SARA MCNETT LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2010
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2906 NE 14TH ST STE 104
OCALA FL
34470-8818
US

IV. Provider business mailing address

2906 NE 14TH ST STE 104
OCALA FL
34470-8818
US

V. Phone/Fax

Practice location:
  • Phone: 352-844-6357
  • Fax:
Mailing address:
  • Phone: 352-844-6357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA86165
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: