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Individual

MR. NICHOLAS R RHODES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.T

Contact information

Practice address
429 W MADISON ST, MEMPHIS, MO 63555-1054
(660) 465-2631
Mailing address
429 W MADISON ST, MEMPHIS, MO 63555-1054
(660) 465-2631

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2006007834
MO

Other

Enumeration date
05/27/2011
Last updated
05/27/2011
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