| Greenway Massage Team, LLC | |
|
810 E Walnut St Columbia MO 65201-4863 | |
| (573) 449-4929 | |
| (573) 449-4933 |
| Full Name | Greenway Massage Team, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 810 E Walnut St, Columbia, Missouri |
| Authorized Official Name and Position | Mirra Greemway (OWNER) |
| Authorized Official Contact | 5734494929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenway Massage Team, LLC 810 E Walnut St Columbia MO 65201-4863 Ph: (573) 449-4929 | Greenway Massage Team, LLC 810 E Walnut St Columbia MO 65201-4863 Ph: (573) 449-4929 |
| NPI Number | 1649461641 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649461641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2006005578 (Missouri) | Primary |
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