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Individual

JAMIE LEE EARLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
400 N STATE ST, KNOB NOSTER, MO 65336-1164
(660) 624-9624
Mailing address
PO BOX 72, KNOB NOSTER, MO 65336-0072
(660) 624-9624

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2017027854
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2017027854
STATE LICENSE
MO
Enumeration date
03/27/2018
Last updated
04/11/2026
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