Michael Davis JR.

NPI #1376901645 in Florissant, Missouri

Provider Information

NPI Number: 1376901645
Entity Type: Individual
Name: Michael Davis JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Feb 2, 2016
Last Updated: Feb 2, 2016

Practice Location

Address: 3245 HARNESS DR
City: Florissant
State: Missouri
ZIP Code: 63033-3715
Phone: (951) 219-8747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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