| 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 |