MS. LISA KELLI GLENN LMT NPI 1558804609

NPI Information

  • NPI: 1558804609
  • Provider Name: MS. LISA KELLI GLENN, LMT
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 6450 SW ARCHER RD
    210
    GAINESVILLE, FL
    ZIP 32608
  • Phone: (352) 378-7517

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NPI Details

MS. Lisa Kelli Glenn, LMT is a specialist in Gainesville, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MS. Lisa Kelli Glenn, LMT NPI is 1558804609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6450 SW ARCHER RD
210
GAINESVILLE, FL
ZIP 32608-133
Phone: (352) 378-7517

The enumeration date for this NPI number is 11/22/2016 and was last updated on 11/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMA18140FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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