Delisa Lane, LMT Valid NPI

Individual provider · Massage Therapist · Dumfries, VA

NPI

1457967994

Type

Individual (Type 1)

Primary specialty

Massage Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225700000X

License number

0009010852 (VA)

Sex

Female

Sole proprietor

Yes

Enumerated

2020-09-21

Last updated

2020-09-21