Kelley, Lisa

Kelley, Lisa is an sole proprietor health care provider with primary practice located at 117 Free Street C/O Headgames Spa, Portland ME 04106. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Kelley, Lisa can be contacted via phone (207) 239-9485.

Contact Information

Primary practice address
117 Free Street C/O Headgames Spa Portland ME 04106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X MT4261 Maine

Profile Details

NPI number 1003292509
LBN Legal business name Kelley, Lisa
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2015
Last updated Aug 6th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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