Individual
JAMES ALLEN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6436 CHIPPEWA ST, SAINT LOUIS, MO 63109-2106
(314) 825-3696
Mailing address
6436 CHIPPEWA ST, SAINT LOUIS, MO 63109-2106
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2018038059
MO
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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