Individual
JENNIFER S BAHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LMT
Contact information
Practice address
121 BRACADALE AVE, VALLEY PARK, MO 63088-1534
(712) 574-3080
Mailing address
121 BRACADALE AVE, VALLEY PARK, MO 63088-1534
(712) 574-3080
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2012031796
MO
225700000X
Massage Therapist
Primary
2021007117
MO
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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