Individual
DASHA L STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LPTA
Contact information
Practice address
500 JUNGERMANN RD STE 203, SAINT PETERS, MO 63376-2774
(217) 565-2013
Mailing address
500 JUNGERMANN RD STE 203, SAINT PETERS, MO 63376-2774
(217) 565-2013
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
160.00967
IL
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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