Individual provider · Type 1 NPI

Jena Maree Vaughn, LMT

Massage Therapist · Richmond Heights, MO

NPI number 1558601484 Active

Practice location

1614 S Big Bend Blvd
Richmond Heights, MO 63117-2208

Mailing address

2487 Hartland Ave
St. Louis, MO 63114-5033

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2010017067 (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 1558601484

Jena Maree Vaughn, LMT's National Provider Identifier is 1558601484, issued on Mar 1, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Richmond Heights, MO. The record was last updated on Mar 1, 2013.