Individual
MR. RANDALL HERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
294 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 554-6003
Mailing address
2417 SW STONECREEK COURT, BLUE SPRINGS, MO 64015
(816) 392-8778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2002031011
MO
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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