| Mesa Body Therapy, Llc | |
| 
					97 Pike St Rocheport MO 65279-9392  | |
| (573) 489-6383 | |
| Not Available | 
| Full Name | Mesa Body Therapy, Llc | 
|---|---|
| Speciality | Clinic/center | 
| Location | 97 Pike St, Rocheport, Missouri | 
| Authorized Official Name and Position | Tawnee Benner (MEMBER) | 
| Authorized Official Contact | 5734896383 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mesa Body Therapy, Llc Po Box 45 Rocheport MO 65279-0045 Ph: () -  | Mesa Body Therapy, Llc 97 Pike St Rocheport MO 65279-9392 Ph: (573) 489-6383  | 
| NPI Number | 1013530252 | 
|---|---|
| Provider Enumeration Date | 05/22/2020 | 
| Last Update Date | 05/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013530252 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |