NPI 1588287726

Tawnee Benner, LMT

Practitioner Mechanotherapist Rocheport, MO

Practice location

Address: 97 Pike St, Rocheport, MO 65279-9392
Phone: (573) 489-6383
Mailing address: PO Box 45, Rocheport, MO 65279-0045

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 2018041781 (MO)

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Registry record

NPI: 1588287726
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2020
Record last updated: 22 May 2020

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.