Latricia Dale, LMT

NPI #1891082046 in Florissant, Missouri

Provider Information

NPI Number: 1891082046
Entity Type: Individual
Name: Latricia Dale, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 7, 2011
Last Updated: Jul 7, 2011

Practice Location

Address: 4130 SEVEN HILLS DR
City: Florissant
State: Missouri
ZIP Code: 63033-6708
Phone: (314) 972-0409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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