Organization
NMN MASSAGE & BODYWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NGOC MINH TA NGUYEN LMT (LICENSED MASSAGE THERAPIST)
(417) 872-8422
Entity
Organization
Contact information
Practice address
225 E SUNSHINE ST STE 102, SPRINGFIELD, MO 65807-2661
(417) 872-8422
Mailing address
1019 W MEADOWMERE ST, SPRINGFIELD, MO 65807-1334
(417) 872-8422
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
707742
MO
261QH0100X
Health Service Clinic/Center
707742
MO
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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