Individual
JEVAE CHRISHAUN COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12013 E 47TH ST, KANSAS CITY, MO 64133-2517
(816) 433-6411
Mailing address
12013 E 47TH ST, KANSAS CITY, MO 64133-2517
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2009028949
MO
Other
Enumeration date
10/26/2019
Last updated
10/26/2019
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