Torace Lamont Douglas, LMT

NPI #1447867833 in Florissant, Missouri

Provider Information

NPI Number: 1447867833
Entity Type: Individual
Name: Torace Lamont Douglas, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 29, 2020
Last Updated: Sep 29, 2020

Practice Location

Address: 2745 VALLEY BROOK DR
City: Florissant
State: Missouri
ZIP Code: 63031-1982
Phone: (314) 915-1563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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