Organization
VALENCE MASSAGE
Active
Organization
VALENCE MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON TALLERICO LMT (OWNER/THERAPIST)
(417) 887-1350
Entity
Organization
Contact information
Practice address
4411 E. SUNSHINE, SUITE H, SPRINGFIELD, MO 65809
(417) 887-1350
Mailing address
4411 E. SUNSHINE, SUITE H, SPRINGFIELD, MO 65809
(417) 887-1350
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2007004680
MO
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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