Individual
TYNESIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8250 N BOOTH AVE, KANSAS CITY, MO 64158-7201
(816) 349-8006
Mailing address
6129 INDIANA AVE, KANSAS CITY, MO 64130-4458
(816) 824-3270
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2010001890
MO
Other
Enumeration date
02/23/2019
Last updated
02/23/2019
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