Individual provider · Type 1 NPI
Torace Lamont Douglas, LMT
Massage Therapist · Florissant, MO
NPI number
1447867833
Active
Practice location
2745 Valley Brook Dr
Florissant, MO 63031-1982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 2020014659 (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 1447867833
Torace Lamont Douglas, LMT's National Provider Identifier is 1447867833, issued on Sep 29, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Florissant, MO. The record was last updated on Sep 29, 2020.