Deidre Joy Banahan Valid NPI
Individual provider · Massage Therapist · Belleville, KS
- NPI
- 1174033708
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- 3225 (NE)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2017-10-10
- Last updated
- 2017-10-10
Practice location
1913 M St
Belleville, KS 66935-2238
(785) 955-2233