Most Relevant Information
Provider Data
| NPI Number: | 1003275116 |
| Provider Name: | ADRIANA URISTA M.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 33.022691 |
Most Important Dates
| Enumeration Date: | 02/17/2016 |
| Last Updated: | 02/17/2016 |
Provider Practice Location
215 E FOREST AVE
SOUTH LEBANON
OH
450651311
Practice Location Phone/Fax
| Phone: | 5134804491 |
| Fax: | 5134804493 |
Provider Mailing Location
PO BOX 210
SOUTH LEBANON
OH
450650210
Provider Mailing Phone/Fax
| Phone: | 5134804491 |
| Fax: | 5134804493 |