Organization
VETERANS MEDICAL MASSAGE VMMLLC
Active
Parent organization
BACK-TO-WORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
BACK-TO-WORK
Authorized official
GREGORY SMITH LMT (OWNER/MANAGER)
(314) 504-2493
Entity
Organization
Contact information
Practice address
5320 BISCHOFF AVE, SAINT LOUIS, MO 63110-3122
(314) 504-2493
Mailing address
5320 BISCHOFF AVE, SAINT LOUIS, MO 63110-3122
(314) 504-2493
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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