Individual provider · Type 1 NPI

Elizabeth Diebold, LMT

Massage Therapist · St. Charles, MO

NPI number 1285069815 Active

Practice location

1177 S Duchesne Dr
St. Charles, MO 63301-4837

Call (314) 420-4989 Map

Mailing address

480 Fortress Ct
St. Charles, MO 63303-3892

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2010039902 (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 1285069815

Elizabeth Diebold, LMT's National Provider Identifier is 1285069815, issued on Sep 13, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Charles, MO. The record was last updated on Sep 13, 2013.