Individual
GRACE BLUESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1740 S GLENSTONE AVE, SUITE M, SPRINGFIELD, MO 65804-1511
(417) 886-1131
Mailing address
1740 S GLENSTONE AVE, SUITE M, SPRINGFIELD, MO 65804
(417) 886-1131
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2010001562
MO
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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