Individual
MR. DANIEL ALLEN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CFT
Contact information
Practice address
229 W COMMERCIAL ST, LEBANON, MO 65536-3145
(417) 288-9489
Mailing address
261 SUNSET DR, LEBANON, MO 65536-2066
(417) 288-9489
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2011039414
MO
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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