Mesa Body Therapy, Llc | |
97 Pike St Rocheport MO 65279-9392 | |
(573) 489-6383 | |
Not Available |
Full Name | Mesa Body Therapy, Llc |
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Speciality | Clinic/center |
Location | 97 Pike St, Rocheport, Missouri |
Authorized Official Name and Position | Tawnee Benner (MEMBER) |
Authorized Official Contact | 5734896383 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mesa Body Therapy, Llc Po Box 45 Rocheport MO 65279-0045 Ph: () - | Mesa Body Therapy, Llc 97 Pike St Rocheport MO 65279-9392 Ph: (573) 489-6383 |
NPI Number | 1013530252 |
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Provider Enumeration Date | 05/22/2020 |
Last Update Date | 05/22/2020 |
Identifier | Type | State | Issuer |
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1013530252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |