Individual
CHRISTOPHER LEE LUECKENOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
710 S BUSINESS 54, FULTON, MO 65251-1403
(573) 642-9999
Mailing address
4922 BROOKVIEW DR, JEFFERSON CITY, MO 65109-0215
(573) 680-0367
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2006038693
MO
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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