Individual
DEIRDRE LEANNE HUENNEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3425 COUNTY ROAD 222, FULTON, MO 65251-3067
(314) 440-8184
Mailing address
3425 COUNTY ROAD 222, FULTON, MO 65251-3067
(314) 440-8184
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2010004095
MO
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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