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Individual

KATY HERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
19501 E US HIGHWAY 40 STE B, INDEPENDENCE, MO 64055-5475
(816) 795-5000
(816) 795-5001
Mailing address
19501 E US HIGHWAY 40 STE B, INDEPENDENCE, MO 64055-5475
(816) 795-5000
(816) 795-5001

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2012016430
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2012016430
LICENSE
MO
Enumeration date
01/09/2023
Last updated
01/09/2023
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