| Doctor Name: | MS. LISA ANN MACDONALD |
| NPI Number: | 1780882977 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.T. |
| License Number: | MT-01563P |
| Business Practice Address: | 11673 N Saguaro Blvd Fountain Hills, AZ - 852684630 |
| Business Phone Number: | 4808372600 |
| Business Fax Number: | |
| Mailing Address: | 12619 N La Montana Dr, #102 FOUNTAIN HILLS |
| State: | AZ |
| Postal Code: | 852684576 |
| Phone Number: | 4808378729 |
| Fax Number: | 4808372211 |
| NPI Enumeration Date: | 07/10/2007 |
| NPI Last Update Date: | 07/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | MT-01563P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Massage Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |