IndividualActive
Audrey Evanson, LMT
NPI 1083149140 · Massage Therapist · Lisbon, ND
Provider details
- NPI number
- 1083149140
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1729 (ND)
Mailing address
14061 62 1/2 St Se
Lisbon, ND 58054-9421
Registry dates
- Enumerated
- 2017-04-26
- Last updated
- 2017-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.