Individual
MELODY CRYSTAL VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
426 E 5TH ST, WASHINGTON, MO 63090-2811
(636) 239-1117
(636) 239-1117
Mailing address
426 E 5TH ST, WASHINGTON, MO 63090-2811
(636) 239-1117
(636) 239-1117
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2001000202
MO
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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