NPI 1013790500

Moonlight Valley Medical Massage, LLC

Organisation Massage Therapist Ash Grove, MO

Practice location

Address: 102 Moonlight Valley Dr, Ash Grove, MO 65604-8160
Phone: (417) 839-9726
Fax: (417) 263-3099

Authorised official

Name: Katrina Rochelle Chambers
Title: Owner
Phone: (417) 839-9726

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Registry record

NPI: 1013790500
Entity type: Organization
NPI issued: 17 Aug 2023
Record last updated: 17 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.