Tamara Lee Epperson
Individual provider Active NPI Massage Therapist · Knob Noster, MO
NPI 1295252575 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1295252575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 2013042457 (MO)
- Practice address
- 471 NE 601
Knob Noster, MO 65336-1839 - Phone
- (660) 624-1935
- NPI assigned
- Aug 28, 2017
- 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 |
|---|---|---|---|
| 2013042457 | MO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2013042457 | MO | Yes |
Addresses
Primary practice location
471 NE 601
Knob Noster, MO 65336-1839
Mailing address
471 NE 601
Knob Noster, MO 65336-1839
Phone (660) 624-1935
Other providers in Knob Noster, MO
- Megan Burns
- Andersyn Kristi Burson
- Shanna N Dancy
- Bryar Daum
- Jamie Lee Earley
- Fee'S Hands of Love
- Kayla Fenwick
- Debbie L. Freels
- Bailey Graskewicz
- Myranda Gray
All providers in Knob Noster, 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 Jul 21, 2022. 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.