Individual
CORNEISHA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2510 S BRENTWOOD BLVD STE 207, BRENTWOOD, MO 63144-2326
(618) 581-2214
Mailing address
3436 KLOCKE ST, SAINT LOUIS, MO 63118-4204
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2014024167
MO
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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