NPI 1023382116

Visage Studios, LLC

Organisation Anaplastologist Bonne Terre, MO

Practice location

Address: 53 E Johnson St, Bonne Terre, MO 63628-1773
Phone: (314) 732-2658

Authorised official

Name: Amanda Behr
Title: Anaplastologist
Phone: (314) 732-2658

Registered specialties

Anaplastologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 229N00000X

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Registry record

NPI: 1023382116
Entity type: Organization
NPI issued: 7 Mar 2012
Record last updated: 7 Mar 2012

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.