NPI 1154513497

Mirra Greenway, LMTNCTMB

Practitioner Massage Therapist Columbia, MO

Practice location

Address: 810 E Walnut St, Columbia, MO 65201-4863
Phone: (573) 449-4929
Fax: (573) 449-4933

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 2001007661 (MO)

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Registry record

NPI: 1154513497
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2007
Record last updated: 10 Aug 2007

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.