Healthcare Provider Details

I. General information

NPI: 1982808515
Provider Name (Legal Business Name): LISA MARIE DUBETZ LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 02/08/2025
Certification Date: 02/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 GRAHAM RD STE H
CUYAHOGA FALLS OH
44221-1344
US

IV. Provider business mailing address

3533 BENT TREE LN
STOW OH
44224-2969
US

V. Phone/Fax

Practice location:
  • Phone: 330-620-5044
  • Fax:
Mailing address:
  • Phone: 330-620-5044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number33.015213
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: