Individual
MRS. DEBORAH LEANN INMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, KTP
Contact information
Practice address
22768 STATE HIGHWAY 39 STE B, AURORA, MO 65605-5283
(417) 440-0401
Mailing address
22768 STATE HIGHWAY 39 STE B, AURORA, MO 65605-5283
(417) 440-0401
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2009000045
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009000045
MISSOURI MASSAGE THERAPIST LICENSE
MO
01
—
2013007195
MISSOURI MASSAGE THERAPY BUSINESS LICENSE
MO
Enumeration date
05/13/2020
Last updated
05/13/2020
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