Individual
COURTNEY RENEE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 N 3RD AVE, VILLISCA, IA 50864-1018
(712) 621-6582
Mailing address
113 N 3RD AVE, VILLISCA, IA 50864-1018
(712) 621-6582
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
081921
IA
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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