Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Latreasa Star Sheridan, CMT

Individual provider Massage Therapist · NPI 1689386070

Lisa Latreasa Star Sheridan, CMT is a Massage Therapist in Ukiah, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
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Practice location Address checks out

1252 Airport Park Bld C5
Ukiah, CA 95482
Phone: (707) 462-9448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 90275 (CA)

Record details

NPI number1689386070
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMT
Sole proprietorYes
NPI enumeratedDecember 19, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 17, 2022

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