Pamela J Wall, LMT

NPI #1629283296 in Eldon, Missouri

Provider Information

NPI Number
1629283296
Entity Type
Individual
Name
Pamela J Wall, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
May 14, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
18 S MAPLE ST
City
Eldon
ZIP Code
65026-1834
Phone
(573) 392-4181

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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