MRS. Jody Lynn Dishman, LMT, NCTMB

NPI #1033263611 in Sturgeon, Missouri

Provider Information

NPI Number: 1033263611
Entity Type: Individual
Name: MRS. Jody Lynn Dishman, LMT, NCTMB
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT, NCTMB
Enumeration Date: Jan 22, 2007
Last Updated: Dec 27, 2010

Practice Location

Address: 109 W. WALL ST.
City: Sturgeon
State: Missouri
ZIP Code: 65284
Phone: (573) 687-2246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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