Cooley, Lisa Michele

Cooley, Lisa Michele is an sole proprietor health care provider with primary practice located at 1804 W Baker St Suite F, Plant City FL 33563-2900. 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. Cooley, Lisa Michele can be contacted via phone (813) 719-1963.

Contact Information

Primary practice address
1804 W Baker St Suite F Plant City FL 33563-2900
Phone: (813) 719-1963
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA43897 Florida

Profile Details

NPI number 1790920726
LBN Legal business name Cooley, Lisa Michele
Credentials L.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2008
Last updated Mar 3rd, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790920726 NPPES
Florida Other MA43897 STATE OF FLORIDA LICENSE NUMBER

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