Debra Kay Hall, LMT

Individual provider Active NPI Massage Therapist · Cassville, MO

NPI 1003141789 · NPPES record last updated Oct 13, 2009

Key facts

NPI
1003141789
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
2006028295 (MO)
Practice address
605 Main St
Cassville, MO 65625-1419
Phone
(417) 847-5081
Fax
(417) 847-1911
NPI assigned
Oct 13, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2006028295MOMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kristy Montz-Goble Chiropractor PC Past Accepting new patients
Kristy Montz Chiropractor P C Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2006028295 MO Yes

Addresses

Primary practice location

605 Main St
Cassville, MO 65625-1419

Mailing address

605 Main St
Cassville, MO 65625-1419
Phone (417) 847-5081

Other providers in Cassville, MO

All providers in Cassville, MO · Massage Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.