NPI 1174033708

Deidre Joy Banahan

Practitioner Massage Therapist Belleville, KS

Practice location

Address: 1913 M St, Belleville, KS 66935-2238
Phone: (785) 955-2233
Mailing address: 205 Beach St, Cuba, KS 66940-3000

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 3225 (NE)

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Registry record

NPI: 1174033708
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2017
Record last updated: 10 Oct 2017

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.