Individual
MRS. THERESE MARIE FOLSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
810 E WALNUT ST, COLUMBIA, MO 65201-4863
(573) 449-4929
Mailing address
111 N GREENWOOD AVE, COLUMBIA, MO 65203-2677
(573) 268-4353
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2006013298
MO
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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