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Organization

MOONLIGHT VALLEY MEDICAL MASSAGE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATRINA ROCHELLE CHAMBERS LMT, CMMP (OWNER)
(417) 839-9726
Entity
Organization

Contact information

Practice address
102 MOONLIGHT VALLEY DR, ASH GROVE, MO 65604-8160
(417) 839-9726
(417) 263-3099
Mailing address
102 MOONLIGHT VALLEY DR, ASH GROVE, MO 65604-8160
(417) 839-9726
(417) 263-3099

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
08/17/2023
Last updated
08/17/2023
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