Individual
LACINDA KAYE HIGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
603 NORTH WEST 10TH AVE, AVA, MO 65608
(417) 543-9035
Mailing address
HC 71 BOX 265, AVA, MO 65608-8802
(417) 543-9035
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
2010039628
MO
Other
Enumeration date
01/27/2012
Last updated
07/25/2012
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