Doctor Name: | TELISHA LASTER |
NPI Number: | 1881004174 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 33.018721-L-M |
Business Practice Address: | 14077 Cedar Rd Ll8 South Euclid, OH - 441183338 |
Business Phone Number: | 2163211141 |
Business Fax Number: | |
Mailing Address: | 2824 E 120th St, CLEVELAND |
State: | OH |
Postal Code: | 441202122 |
Phone Number: | 2168354742 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2014 |
NPI Last Update Date: | 05/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 33.018721-L-M |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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. |