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Timothy Lisbon
NPI 1881572147 · on the registry since 2025
Practice
- Address
- 129 E German St Ste C200c201
Shepherdstown, WV 25443 - Phone
- (304) 860-0701
- Organisation at this address
- J. Peterson, Ph.D., Llc
Polonchak Educational AssociatesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia