Individual
SANDRA ANN KEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3211 S PROVIDENCE RD STE 105, COLUMBIA, MO 65203-3645
(573) 825-1601
Mailing address
908 W ROLLINS ST, MOBERLY, MO 65270-1353
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2017025450
MO
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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