Individual provider · Type 1 NPI

Mirra Greenway, LMT, NCTMB

Massage Therapist · Columbia, MO

NPI number 1154513497 Active

Practice location

810 E Walnut St
Columbia, MO 65201-4863

Call (573) 449-4929 Map

Fax (573) 449-4933

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2001007661 (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 1154513497

Mirra Greenway, LMT, NCTMB's National Provider Identifier is 1154513497, issued on Aug 10, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Columbia, MO. The record was last updated on Aug 10, 2007.