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

MS. Lisa Mardel Smith

Individual provider Massage Therapist · NPI 1366749004

MS. Lisa Mardel Smith is a Massage Therapist in Albuquerque, New Mexico. Practices as a sole proprietor and works from 2 locations. Licensed in New Mexico and Oregon.

Licensed in
NM, OR
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

1122 Central Ave SW
Albuquerque, NM 87102-2947
Phone: (505) 639-5916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1201 Sw 12th Ave Ste 205, Portland, OR 97205-2035 — (503) 279-0205

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CTB-2023-0939 (NM)
Massage Therapist Taxonomy 225700000X · Licence 17178 (OR)

Record details

NPI number1366749004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 15, 2011
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023

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