Mae Mildred Benson, MASSAGE THERAPIST Valid NPI

Individual provider · Massage Therapist · Jefferson City, MO

NPI

1467647222

Type

Individual (Type 1)

Primary specialty

Massage Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225700000X

License number

2001014178 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2007-09-13

Last updated

2007-09-13