Provider Demographics
NPI:1922865096
Name:POST, LISA ANN (LMT)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:POST
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 E MURRAY HOLLADAY RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-4961
Mailing Address - Country:US
Mailing Address - Phone:801-268-8090
Mailing Address - Fax:
Practice Address - Street 1:999 E MURRAY HOLLADAY RD STE 103
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84117-4961
Practice Address - Country:US
Practice Address - Phone:801-268-8090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13835803-4701225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist