Individual provider · Type 1 NPI

Mae Mildred Benson, MASSAGE THERAPIST

Massage Therapist · Jefferson City, MO

NPI number 1467647222 Active

Practice location

2705 D Industrial Drive
Jefferson City, MO 65109

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2001014178 (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 1467647222

Mae Mildred Benson, MASSAGE THERAPIST's National Provider Identifier is 1467647222, issued on Sep 13, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jefferson City, MO. The record was last updated on Sep 13, 2007.