Individual
JOSHUA ALLAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 E COLUMBIA ST STE B5, FARMINGTON, MO 63640-3103
(573) 952-9055
Mailing address
134 GARSON LN, FARMINGTON, MO 63640-7832
(573) 952-9055
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2023004989
MO
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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