Individual
AMY CHRISTINA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 LAKESHORE DR, DE SOTO, MO 63020-4708
(314) 603-5684
Mailing address
1035 LAKESHORE DR, DE SOTO, MO 63020-4708
(314) 603-5684
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2006033841
MO
Other
Enumeration date
01/11/2025
Last updated
01/11/2025
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