NPI 1023411394

Arijana Dzidzovic, LMT

Practitioner Massage Therapist Saint Louis, MO

Practice location

Address: 6414 Hampton Ave, Saint Louis, MO 63109-3662
Phone: (314) 299-3892
Mailing address: 6973 Winona Ave, Saint Louis, MO 63109-1175

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 2011034106 (MO)

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Registry record

NPI: 1023411394
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Oct 2014
Record last updated: 1 Oct 2014

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.