Individual
JOSEPH TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
391 CHALMETTE DR, HAZELWOOD, MO 63042-3532
(314) 479-5970
Mailing address
391 CHALMETTE DR, HAZELWOOD, MO 63042-3532
(314) 479-5970
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2020022102
MO
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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