Individual provider · Type 1 NPI

Corneisha Banks, LMT

Massage Therapist · Brentwood, MO

NPI number 1295629426 Active

Practice location

2510 S Brentwood Blvd Ste 207
Brentwood, MO 63144-2326

Mailing address

3436 Klocke St
St. Louis, MO 63118-4204

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2014024167 (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.

About NPI 1295629426

Corneisha Banks, LMT's National Provider Identifier is 1295629426, issued on Jun 3, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Brentwood, MO. The record was last updated on Jun 3, 2025.