Individual
JESSICA MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
302 LEGION PARK RD, PIEDMONT, MO 63957-9426
(573) 561-6190
Mailing address
302 LEGION PARK RD, PIEDMONT, MO 63957-9426
(573) 561-6190
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2024002958
MO
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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