Individual
MICHAEL CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
405 W 4TH ST, SALEM, MO 65560-1212
(573) 247-9480
Mailing address
332 COUNTY ROAD 3275, SALEM, MO 65560-3412
(573) 247-9480
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2022032369
MO
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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