MS. Mirra Greenway, LMT, NCTMB

NPI #1154513497 in Columbia, Missouri

Provider Information

NPI Number: 1154513497
Entity Type: Individual
Name: MS. Mirra Greenway, LMT, NCTMB
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT, NCTMB
Enumeration Date: Aug 10, 2007
Last Updated: Aug 10, 2007

Practice Location

Address: 810 E WALNUT ST
City: Columbia
State: Missouri
ZIP Code: 65201-4863
Phone: (573) 449-4929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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