Individual
COLTON WOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
18 S JACKSON ST, FARMINGTON, MO 63640-1860
(573) 210-2037
Mailing address
301 JEFFERSON ST APT 22, PARK HILLS, MO 63601-2299
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2022035793
MO
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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