Individual
SHELBEY ELIZABETH LEASURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3503 LONE HICKORY DR, TROY, MO 63379-5330
(219) 877-4475
Mailing address
3503 LONE HICKORY DR, TROY, MO 63379-5330
(219) 877-4475
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2023008371
MO
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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