Individual
DONALYN JODY BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2049 E CHERRY ST STE 300, SPRINGFIELD, MO 65802-2954
(417) 818-1217
Mailing address
768 FELLOWSHIP RD, MARSHFIELD, MO 65706-8992
(417) 818-1217
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2015002665
MO
Other
Enumeration date
01/16/2018
Last updated
11/04/2021
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