Provider Demographics
NPI:1043926256
Name:CATALDI, LISA (BS, LMT)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:CATALDI
Suffix:
Gender:F
Credentials:BS, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 GRAVEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1313
Mailing Address - Country:US
Mailing Address - Phone:215-771-6197
Mailing Address - Fax:
Practice Address - Street 1:145 ROCKLEDGE AVE
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:PA
Practice Address - Zip Code:19046-4292
Practice Address - Country:US
Practice Address - Phone:215-722-2923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG003180225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist