Individual provider · Type 1 NPI
Carla Renshaw, MASSAGE THERAPIST
Massage Therapist · Springfield, MO
NPI number
1104583822
Active
Practice location
3761 N State Highway H
Springfield, MO 65803-7137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 2005006915 (MO) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1104583822
Carla Renshaw, MASSAGE THERAPIST's National Provider Identifier is 1104583822, issued on Nov 17, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Springfield, MO. The record was last updated on Nov 17, 2021.