Mcentire, Lisa Nicole

Mcentire, Lisa Nicole is an sole proprietor health care provider with primary practice located at 119 Fairview Oak Trace , Dallas GA 30157. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Mcentire, Lisa Nicole can be contacted via phone (706) 853-1787.

Contact Information

Primary practice address
119 Fairview Oak Trace Dallas GA 30157
Phone: (706) 853-1787
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT004159 Georgia

Profile Details

NPI number 1972888758
LBN Legal business name Mcentire, Lisa Nicole
Credentials L.M.T
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2011
Last updated Oct 12th, 2011 - about 13 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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