Healthcare Provider Details

I. General information

NPI: 1689324196
Provider Name (Legal Business Name): MS. LISA MICHELLE PRESS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LISA PETERS LMT

II. Dates (important events)

Enumeration Date: 03/27/2022
Last Update Date: 03/27/2022
Certification Date: 03/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1486 ELECTRIC AVE STE 103
BELLINGHAM WA
98229-2410
US

IV. Provider business mailing address

4326 INDIGO LN
BELLINGHAM WA
98226-8208
US

V. Phone/Fax

Practice location:
  • Phone: 360-671-5644
  • Fax: 360-715-2864
Mailing address:
  • Phone: 360-920-2048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: