Individual
TERESA MARIE SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2104 BELLEVUE AVE, MAPLEWOOD, MO 63143
(314) 875-0188
Mailing address
2104 BELLEVUE AVE, MAPLEWOOD, MO 63143-1313
(314) 875-0188
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2012038878
MO
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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