Individual
MS. TAMARA RACHELLE LUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC. MASSAGE THERAPI
Contact information
Practice address
303 S EAST ST, EDINA, MO 63537-1543
(660) 342-4244
Mailing address
303 S EAST ST, EDINA, MO 63537-1543
(660) 342-4244
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2009007249
MO
Other
Enumeration date
10/28/2009
Last updated
12/08/2014
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