Provider Demographics
NPI:1568687416
Name:TODD, LISA SCHEETZ (LMT, NCTMB)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:SCHEETZ
Last Name:TODD
Suffix:
Gender:F
Credentials:LMT, NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-1929
Mailing Address - Country:US
Mailing Address - Phone:412-782-2002
Mailing Address - Fax:
Practice Address - Street 1:98 VALLEY DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-1929
Practice Address - Country:US
Practice Address - Phone:412-782-2002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist