Individual
ANGELIA SHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
113 MO 51, MARBLE HILL, MO 63764
(573) 979-4414
Mailing address
15290 STATE HIGHWAY 51, ADVANCE, MO 63730-7151
(573) 979-4414
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2016026782
MO
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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