Individual
ELYSIA S WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2627 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2411
(314) 791-3088
Mailing address
33 JACQUELINE CIR, O FALLON, MO 63368-7883
(314) 791-3088
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2013014519
MO
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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