Individual provider · Type 1 NPI

Deidre Joy Banahan

Massage Therapist · Belleville, KS

NPI number 1174033708 Active

About NPI 1174033708

Deidre Joy Banahan's National Provider Identifier is 1174033708, issued on Oct 10, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Belleville, KS. The record was last updated on Oct 10, 2017.