Darlene Meyers, LMT
Individual provider Active NPI Massage Therapist · Branson West, MO
NPI 1215401633 · NPPES record last updated Jan 18, 2019
Key facts
- NPI
- 1215401633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 2002009212 (MO)
- Practice address
- 11016 E State Highway 76 Ste 21
Branson West, MO 65737-9775 - Phone
- (417) 272-1464
- NPI assigned
- Jan 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001013912 | MO | MD | Massage Therapist |
| 2002009212 | MO | MD | Massage Therapist |
| 2013034802 | MO | MD | Massage Therapist |
| 2017025446 | MO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2001013912 | MO | |
| Massage Therapist | 225700000X | 2017025446 | MO | |
| Massage Therapist | 225700000X | 2013034802 | MO | |
| Massage Therapist | 225700000X | 2002009212 | MO | Yes |
Addresses
Primary practice location
11016 E State Highway 76 Ste 21
Branson West, MO 65737-9775
Mailing address
PO Box 2161
Branson West, MO 65737-2161
Phone (417) 272-1464
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All providers in Branson West, MO · Massage Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.