Individual
DANA THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 718-7253
Mailing address
6361 COUNTY ROAD 352, HARVIELL, MO 63945-9162
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2023038711
MO
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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