| Lisa Nicole Mcentire, LMT | |
|
119 Fairview Oak Trace, Dallas, GA 30157 | |
| (706) 853-1787 | |
| Not Available |
| Full Name | Lisa Nicole Mcentire |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 119 Fairview Oak Trace, Dallas, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972888758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT004159 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Nicole Mcentire, LMT 119 Fairview Oak Trace, Dallas, GA 30157 Ph: (706) 853-1787 | Lisa Nicole Mcentire, LMT 119 Fairview Oak Trace, Dallas, GA 30157 Ph: (706) 853-1787 |
Vitia Angela Pack, PA-C Massage Therapist Medicare: Accepting Medicare Assignments Practice Location: 49 Hosiery Mill Rd Ste 124, Dallas, GA 30157 Phone: 770-443-6111 | |
Kara Bowman, LMT, NMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 W Memorial Dr, Dallas, GA 30132 Phone: 770-365-8534 | |
Meagan K Moore, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 7951 Villa Rica Hwy, Dallas, GA 30157 Phone: 678-952-6249 |