Individual
AIMEE DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
710 S BUSINESS 54, FULTON, MO 65251-1403
(573) 590-0657
Mailing address
710 S BUSINESS 54, FULTON, MO 65251-1403
(573) 590-0657
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2007010384
MO
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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