Individual
ANDREA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
19 E WALNUT ST, C, COLUMBIA, MO 65203-4505
(573) 355-6636
Mailing address
19 E WALNUT ST, C, COLUMBIA, MO 65203-4505
(573) 355-6636
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2010010227
MO
Other
Enumeration date
06/08/2010
Last updated
12/28/2010
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