Individual
TERESA LEES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8340 E 21ST ST N, 900, WICHITA, KS 67206-2961
(816) 801-0556
Mailing address
4948 E 45TH ST N, BEL AIRE, KS 67220-1507
(816) 801-0556
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2018-41938
KS
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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