Individual
MISS DONA L LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5036 FAIRWAY DR, KANSAS CITY, MO 64129-1989
(816) 645-6520
Mailing address
5036 FAIRWAY DR, KANSAS CITY, MO 64129-1989
(816) 645-6520
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2004000313
MO
Other
Enumeration date
08/22/2012
Last updated
03/29/2023
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